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1689686610
GLEN A. MEDELLIN
SAN ANTONIO, TX
NPI
1689686610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080H0002X
(Licence: TX K3796)
Additional Taxonomies
208000000X Pediatrics
(Licence: TX K3796)
Enumeration Date
2006-08-11
Last Update Date
2024-09-19
Business Address
GLEN A. MEDELLIN M.D.
903 W MARTIN ST
SAN ANTONIO, TX 78207-0903
Phone number: 210-358-9658
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Mailing Address
GLEN A. MEDELLIN M.D.
PO BOX 87
SAN ANTONIO, TX 78291-0087
Phone number: 210-358-9172
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