| Medina Orthodontics | |
|
11868 Bandera Rd Helotes TX 78023-4132 | |
| (210) 695-1738 | |
| (210) 695-1736 |
| Full Name | Medina Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11868 Bandera Rd, Helotes, Texas |
| Authorized Official Name and Position | Jesus M. Medina (PRESIDENT) |
| Authorized Official Contact | 2106951738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medina Orthodontics 11868 Bandera Rd Helotes TX 78023-4132 Ph: (210) 695-1738 | Medina Orthodontics 11868 Bandera Rd Helotes TX 78023-4132 Ph: (210) 695-1738 |
| NPI Number | 1457451536 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457451536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20136 (Texas) | Primary |
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