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Contact Information

ROBERTO E MEDINA, MD
309 JACKSON ST
MONROE, LA71201-7407
 Phone: 806-831-8734
 Fax: 940-205-5028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERTO E MEDINA · (Male)

NPI Number 1063850147
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2013
Last updated 04/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 311630
  • OK License # 29919
  • TX License # BP10045433
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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