Individual
CODY ANDREW MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN54723
RI
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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