Medina, Irma
Medina, Irma is an individual health care provider with primary practice located at 11335 Ssg Sims , Ft Bliss TX 79918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Medina, Irma can be contacted via phone (915) 742-2273.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L0867 | Texas |
Profile Details
| NPI number | 1477669034 |
|---|---|
| LBN Legal business name | Medina, Irma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Nov 13th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477669034 | NPPES |
| Texas | MEDICAID | 101871501 | |
| Texas | Other | 89613X |
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