Bertha L. Medina Md Pa

LBN: Bertha L. Medina Md Pa
Bertha L. Medina Md Pa is an health care organization with primary practice located at 721 Savannah Ave , Mcallen TX 78503-3006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bertha L. Medina Md Pa can be contacted via phone (956) 630-5585, or through Rodriguez-Medina, Bertha Laura via phone (956) 630-5585.

Contact Information

Primary practice address
721 Savannah Ave Mcallen TX 78503-3006
Phone: (956) 630-5585
Fax: (956) 631-1372
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez-Medina, Bertha Laura Doctor of Medicine (MD)
Phone: (956) 630-5585

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G-7102 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1750349700
LBN Legal business name Bertha L. Medina Md Pa
DBA Doing business as
Authorized official Rodriguez-Medina, Bertha Laura Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Oct 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750349700 NPPES
Texas MEDICAID 0805541-01

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