Medina, Marelyn

Medina, Marelyn is an individual health care provider with primary practice located at 412 E Dove Ave , Mcallen TX 78504-2240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Medina, Marelyn can be contacted via phone (956) 686-7243.

Contact Information

Primary practice address
412 E Dove Ave Mcallen TX 78504-2240
Phone: (956) 686-7243
Fax: (956) 668-7123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X J9759 Texas

Profile Details

NPI number 1154314342
LBN Legal business name Medina, Marelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Oct 25th, 2017 - about 7 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 1154314342 NPPES
Other 340017711 RAILROAD MEDICARE
Other 3196639 RAILROAD MEDICARE
Other 82010Y RAILROAD MEDICARE
MEDICAID 16886101 RAILROAD MEDICARE
MEDICAID 036004201 RAILROAD MEDICARE
Other 1258210001 RAILROAD MEDICARE

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