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Contact Information

CARLOS A MEDINA, MD
8501 WADE BLVD
BLDG. X, SUITE 1020
FRISCO, TX75034-5894
 Phone: 972-668-5864
 Fax: 972-668-5825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CARLOS A MEDINA · (Male)

NPI # 1972554954
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2006
Last updated 01/21/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L8430
  • TX Medicaid 168602401
  • TX Medicaid 168602402
  • TX Other 8U3552 BLUE CROSS BLUE SHIELD
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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