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Individual

DR. MARIEL J MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6441 HIGH STAR DR, HOUSTON, TX 77074-5005
(713) 779-6400
(713) 523-4897
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(713) 830-3060
(713) 523-4897

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26378R
PR
208000000X
Pediatrics Physician
Primary
N4582
TX

Other

Enumeration date
07/23/2007
Last updated
05/13/2011
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