SearchTexas2255A2300X

Jesus Medina, LAT

NPI 1427830850 · on the registry since 2023

Practice

Address
1050 Chicken Ranch Rd
San Elizario, TX 79849
Phone
(915) 872-3900
Organisation at this address
San Elizario Independent School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas