Medina, Megan Renee

Medina, Megan Renee is an individual health care provider with primary practice located at 100 Medical Dr , Lake Jackson TX 77566-5674. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Medina, Megan Renee can be contacted via phone (979) 297-4411.

Contact Information

Primary practice address
100 Medical Dr Lake Jackson TX 77566-5674
Phone: (979) 297-4411
Fax: (214) 712-2487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 648846 Texas

Profile Details

NPI number 1699823344
LBN Legal business name Medina, Megan Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jan 27th, 2008 - about 16 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 1699823344 NPPES
Other 8Y1761 BCBSTX

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