Medina, Carlos Alfredo
Medina, Carlos Alfredo is an individual health care provider with primary practice located at 8501 Wade Blvd Bldg. X, Suite 1020, Frisco TX 75034-5894. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Medina, Carlos Alfredo can be contacted via phone (972) 668-5864.Contact Information
Primary practice address
8501 Wade Blvd Bldg. X, Suite 1020
Frisco TX 75034-5894
Phone: (972) 668-5864
Fax: (972) 668-5825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L8430 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | L8430 | Texas |
Profile Details
| NPI number | 1972554954 |
|---|---|
| LBN Legal business name | Medina, Carlos Alfredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Jan 21st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972554954 | NPPES |
| Texas | MEDICAID | 168602402 | |
| Texas | Other | 8U3552 | |
| Texas | MEDICAID | 168602401 |
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