Medina, Roberto De Jesus
Medina, Roberto De Jesus is an individual health care provider with primary practice located at 17183 I 45 S Ste 210 , Shenandoah TX 77385-3313. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Medina, Roberto De Jesus can be contacted via phone (936) 321-8000.Contact Information
Primary practice address
17183 I 45 S Ste 210
Shenandoah TX 77385-3313
Phone: (936) 321-8000
Fax: (936) 271-0122
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | T2438 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Texas | |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | T2438 | Texas |
Profile Details
NPI number | 1023514361 |
---|---|
LBN Legal business name | Medina, Roberto De Jesus |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2018 |
Last updated | Jun 11th, 2023 - about last year |
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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