Individual
DR. DAVID MEDUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602 ROCK PRAIRIE RD STE 3100, COLLEGE STATION, TX 77845-5990
(979) 764-6868
(979) 694-8804
Mailing address
1602 ROCK PRAIRIE RD STE 3100, COLLEGE STATION, TX 77845-5990
(979) 764-6868
(979) 694-8804
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M5374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184841801
—
TX
01
—
8AE860
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
11/15/2006
Last updated
11/19/2013
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