Dr. Marelyn Medina & Associates PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J9759 Issued in TX

Legal business name

DR. MARELYN MEDINA & ASSOCIATES PA

Practice address

412 E Dove Ave
McAllen, TX 78504-2240

Phone

(956) 686-7243

Fax

(956) 668-7123

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Marelyn Medina, MD

Title

Manager

Phone

(956) 686-7243

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1881870723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042240",
            "telephone_number": "956-686-7243",
            "fax_number": "956-668-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042240",
            "telephone_number": "956-686-7243",
            "fax_number": "956-668-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARELYN MEDINA & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARELYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-686-7243",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J9759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00940U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in McAllen, TX
• Providers in McAllen, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.