Medina Medical Center

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

K1960 Issued in TX

Legal business name

MEDINA MEDICAL CENTER

Practice address

300 N Teel Dr
Ste 105
Devine, TX 78016-2650

Phone

(830) 663-3500

Fax

(830) 663-3505

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shahnaz Sidhwa

Title

Office Manager

Phone

(281) 232-9772

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1295068187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "STE 410",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "281-232-9772",
            "fax_number": "281-232-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N TEEL DR",
            "address_2": "STE 105",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780162650",
            "telephone_number": "830-663-3500",
            "fax_number": "830-663-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "SIDHWA",
        "authorized_official_first_name": "SHAHNAZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-232-9772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K1960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Duncan Personal Care Home (Martin Duncan Boarding Home)
• Megan Kay Martinez
• Carol J McCarrick
• Medina County Emergency Service District No. 4
• Medina County Hospital District (Medical Clinic of Devine)
• Minnie D. Cruz (Cruz Personal Care Home)
• Monari Wellness and Consulting LLC
• Gokul Nukala, RPH
• R & L Garza Residential Care Home
• Ramirez Personal Care Home I

• Nephrology Physician in Devine, TX
• Providers in Devine, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.