Medina, Carlos Alfredo

Medina, Carlos Alfredo is an individual health care provider with primary practice located at 8501 Wade Blvd Bldg. X, Suite 1020, Frisco TX 75034-5894. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Medina, Carlos Alfredo can be contacted via phone (972) 668-5864.

Contact Information

Primary practice address
8501 Wade Blvd Bldg. X, Suite 1020 Frisco TX 75034-5894
Phone: (972) 668-5864
Fax: (972) 668-5825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L8430 Texas
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X L8430 Texas

Profile Details

NPI number 1972554954
LBN Legal business name Medina, Carlos Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jan 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972554954 NPPES
Texas MEDICAID 168602402
Texas Other 8U3552
Texas MEDICAID 168602401

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