Individual
LEO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6445 MAIN ST STE 2600, HOUSTON, TX 77030-1502
(713) 441-5451
(713) 791-5274
Mailing address
6445 MAIN ST STE 2600, HOUSTON, TX 77030-1502
(713) 441-5451
(713) 791-5274
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP130533
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP130533
TX
Other
Enumeration date
04/07/2016
Last updated
08/05/2022
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