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1164418752
LUIS A MEDINA
PORT ARTHUR, TX
NPI
1164418752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX K6649)
Enumeration Date
2005-09-20
Last Update Date
2013-09-28
Business Address
-- LUIS A MEDINA
3800 HIGHWAY 365 #119
PORT ARTHUR, TX 77642-7526
Phone number: 409-722-6100
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Mailing Address
-- LUIS A MEDINA
PO BOX 3377
PORT ARTHUR, TX 77643-3377
Phone number: 409-722-6100
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