1164418752 NPI number — LUIS A MEDINA

Table of content: LUIS A MEDINA (NPI 1164418752)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164418752 NPI number — LUIS A MEDINA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEDINA
Provider First Name:
LUIS
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164418752
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3377
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT ARTHUR
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77643-3377
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-722-6100
Provider Business Mailing Address Fax Number:
409-722-6109

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3800 HIGHWAY 365
Provider Second Line Business Practice Location Address:
#119
Provider Business Practice Location Address City Name:
PORT ARTHUR
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77642-7526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
409-722-6100
Provider Business Practice Location Address Fax Number:
409-722-6109
Provider Enumeration Date:
09/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  K6649 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 029674101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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