| Javier Medina Md Pa | |
|
1924 E Griffin Parkway Mission TX 78572-3106 | |
| (956) 581-5100 | |
| (956) 581-8608 |
| Full Name | Javier Medina Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1924 E Griffin Parkway, Mission, Texas |
| Authorized Official Name and Position | Adalia Saenz (BILLING SPECIALIST) |
| Authorized Official Contact | 9565815100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Medina Md Pa Po Box 5909 Mcallen TX 78502-5909 Ph: (956) 581-5100 | Javier Medina Md Pa 1924 E Griffin Parkway Mission TX 78572-3106 Ph: (956) 581-5100 |
| NPI Number | 1043302334 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 07/09/2015 |
| Medicare PECOS PAC ID | 0143229799 |
|---|---|
| Medicare Enrollment ID | O20061209000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043302334 | NPI | - | NPPES |
| 111655001 | Medicaid | TX | |
| 189269701 | Medicaid | TN | |
| 189269702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J7088 (Texas) | Secondary |
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Javier Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104848514 PECOS PAC ID: 2961401518 Enrollment ID: I20061209000091 |
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