Medina, Corinne S

Medina, Corinne S is an individual health care provider with primary practice located at 1100 Wilford Hall Loop, Bldg 4554 Wilford Hall Ambulatory Surgical Center, Jbsa-Lacland Afb TX 78236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Medina, Corinne S can be contacted via phone (210) 292-7361.

Contact Information

Primary practice address
1100 Wilford Hall Loop, Bldg 4554 Wilford Hall Ambulatory Surgical Center Jbsa-Lacland Afb TX 78236
Phone: (210) 292-7361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101247643 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME122558 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2016-01990 North Carolina

Profile Details

NPI number 1184878910
LBN Legal business name Medina, Corinne S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2008
Last updated Jan 29th, 2021 - about 3 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.

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