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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790069748 NPPES
Texas MEDICAID 326773403

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