CHARLES ISREAL MEDINA

DALLAS, TX
NPI1255539821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  AP132602)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  17346)
363LF0000X Nurse Practitioner, Family
(Licence: IA  A150308)
Enumeration Date2007-07-05
Last Update Date2018-05-10
Business Address
Dr. CHARLES ISREAL MEDINA DNP, FNP-C, ENP-C
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-759-3593
Mailing Address
Dr. CHARLES ISREAL MEDINA DNP, FNP-C, ENP-C
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-1860