Organization
DR. MARELYN MEDINA & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARELYN MEDINA MD (MANAGER)
(956) 686-7243
Entity
Organization
Contact information
Practice address
412 E DOVE AVE, MCALLEN, TX 78504-2240
(956) 686-7243
(956) 668-7123
Mailing address
412 E DOVE AVE, MCALLEN, TX 78504-2240
(956) 686-7243
(956) 668-7123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J9759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00940U
MEDICARE
TX
Enumeration date
01/10/2008
Last updated
10/02/2018
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