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1245457738
MODESTO MEDINA
HOUSTON, TX
NPI
1245457738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA01382)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Mr. MODESTO MEDINA P.A.
7447 HARWIN DR STE 100
HOUSTON, TX 77036-2097
Phone number: 713-541-6988
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Mailing Address
Mr. MODESTO MEDINA P.A.
7447 HARWIN DR STE 100
HOUSTON, TX 77036-2097
Phone number: 713-541-6988
Copy
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