GLEN A. MEDELLIN

SAN ANTONIO, TX
NPI1689686610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080H0002X 
(Licence: TX  K3796)
Additional Taxonomies208000000X Pediatrics
(Licence: TX  K3796)
Enumeration Date2006-08-11
Last Update Date2024-09-19
Business Address
GLEN A. MEDELLIN M.D.
903 W MARTIN ST
SAN ANTONIO, TX 78207-0903
Phone number: 210-358-9658
Mailing Address
GLEN A. MEDELLIN M.D.
PO BOX 87
SAN ANTONIO, TX 78291-0087
Phone number: 210-358-9172
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