Medina, Glenda Fabiola
Medina, Glenda Fabiola is an sole proprietor health care provider with primary practice located at 6560 Fannin St Ste 1878 , Houston TX 77030-2752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Medina, Glenda Fabiola can be contacted via phone (713) 441-5189.Contact Information
Primary practice address
6560 Fannin St Ste 1878
Houston TX 77030-2752
Phone: (713) 441-5189
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 364SA2100X | 702304 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP117917 | Texas |
Profile Details
| NPI number | 1790069748 |
|---|---|
| LBN Legal business name | Medina, Glenda Fabiola |
| Credentials | MSN-ACNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2011 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790069748 | NPPES |
| Texas | MEDICAID | 326773403 |
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