Medina, Ma Lucia Canada
Medina, Ma Lucia Canada is an individual health care provider with primary practice located at 5945 Saratoga Blvd Suite C, Corpus Christi TX 78414-4225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Medina, Ma Lucia Canada can be contacted via phone (361) 853-3222.Contact Information
Primary practice address
5945 Saratoga Blvd Suite C
Corpus Christi TX 78414-4225
Phone: (361) 853-3222
Fax: (361) 980-3619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K0930 | Texas |
Profile Details
| NPI number | 1124010582 |
|---|---|
| LBN Legal business name | Medina, Ma Lucia Canada |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2005 |
| Last updated | Nov 1st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124010582 | NPPES |
| Texas | MEDICAID | 110645202 |
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