Individual
BRENDA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14804 S SPRING RIDGE CIR, BALCH SPRINGS, TX 75180-4315
(214) 624-2092
Mailing address
14804 S SPRING RIDGE CIR, BALCH SPRINGS, TX 75180-4315
(214) 624-2092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1000174
TX
Other
Enumeration date
06/08/2018
Last updated
09/24/2020
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