Individual
DR. VANESSA MARIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR # MS 01W256, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
S3712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414497401
—
TX
Enumeration date
04/08/2015
Last updated
12/11/2024
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