NPIMap

Organization Active NPI

Fabiola Medina Csa

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1710215645
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00347 Issued in TX
Legal business name
FABIOLA MEDINA CSA
Practice address
16151 Cairnway Dr Ste 210
Houston, TX 77084-3555
Phone
(281) 463-6309
Fax
(281) 463-6835
NPI assigned
Dec 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Fabiola Medina, LSANPI 1841421773
Title
Owner
Phone
(281) 463-6309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00347 TX Primary

Addresses

Primary practice location

16151 Cairnway Dr Ste 210
Houston, TX 77084-3555

Mailing address

PO Box 3931
Brownsville, TX 78523-3931
Phone (281) 463-6309

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1710215645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3931",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785233931",
            "telephone_number": "281-463-6309",
            "fax_number": "281-463-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 CAIRNWAY DR STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843555",
            "telephone_number": "281-463-6309",
            "fax_number": "281-463-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIOLA MEDINA CSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-463-6309",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.