Frank Medina, LMT

Individual provider Active NPI Massage Therapist · Quinlan, TX

NPI 1013407592 · NPPES record last updated May 10, 2018

Key facts

NPI
1013407592
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT042911 (TX)
Practice address
5494 FM 2101
Quinlan, TX 75474-3437
Phone
(817) 915-2425
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MT042911TXMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT042911 TX Yes

Addresses

Primary practice location

5494 FM 2101
Quinlan, TX 75474-3437

Mailing address

5494 FM 2101
Quinlan, TX 75474-3437
Phone (817) 915-2425

Other providers in Quinlan, TX

All providers in Quinlan, TX · Massage Therapist in Texas

Sources for this page

Verify at the official NPI Registry.