Luis A Medina

NPI #1164418752 in Port Arthur, Texas

Provider Information

NPI Number: 1164418752
Entity Type: Individual
Name: Luis A Medina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Enumeration Date: Sep 20, 2005
Last Updated: Sep 28, 2013

Practice Location

Address: 3800 HIGHWAY 365
Address 2: #119
City: Port Arthur
State: Texas
ZIP Code: 77642-7526
Phone: (409) 722-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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