Fabiola Medina, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

06247 Issued in TX

Practice address

16151 Cairnway Dr Ste 210
Houston, TX 77084-3555

Phone

(956) 592-5022

Fax

(281) 463-6835

NPI assigned

Jul 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fabiola Medina Csa

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1710215645
  NPD (past) Authorized official

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1841421773",
    "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": "956-592-5022",
            "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": "956-592-5022",
            "fax_number": "281-463-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "FABIOLA",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "06247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Ellis Medina, LCSW
• Deanne Irene Medina, LCSW
• Delphi Medina
• Donna Denise Medina, SA-C
• Enrique Medina II, RBT
• Felipe Medina, LSA
• Georgina Medina, DDS
• Glenda Fabiola Medina, MSN-ACNP
• Isabel De la Luz Medina
• Jessica Medina, LMFT

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.