Individual
FABIOLA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
16151 CAIRNWAY DR STE 210, HOUSTON, TX 77084-3555
(956) 592-5022
(281) 463-6835
Mailing address
PO BOX 3931, BROWNSVILLE, TX 78523-3931
(956) 592-5022
(281) 463-6835
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
06247
TX
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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