| NPI | 1073893046 |
|---|---|
| Doing Business As | THE MEDINA CLINIC |
| Entity Type | Organization |
| Authorized Contact | WAEL SAYED MOURAD Medical Director 816-214-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |