Charles Isreal Medina in Dallas - Nurse Practitioner
Charles Isreal Medina - NPI 1255539821
Charles Isreal Medina is a Nurse Practitioner in Dallas, Texas. Charles Isreal Medina practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Charles Isreal Medina is 1255539821. The last update date is 2018-05-10.
Charles Isreal Medina's current location address is 4500 S Lancaster Rd, Dallas, Texas. You can contact this provider via phone number 2148571860. The mailing address for Charles Isreal Medina is 4500 S Lancaster Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Isreal Medina |
|---|---|
| Address | 4500 S Lancaster Rd, Dallas, Texas |
| Phone Number | 2148571860 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DNP, FNP-C |
NPI Number Detail
| NPI Number | 1255539821 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2018-05-10 |
Provider Mailing Address Detail
| Address | 4500 S Lancaster Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752167167 |
| Phone Number | 2148571860 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP132602 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1255539821 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles Isreal Medina by the Centers for Medicare & Medicaid Services?
The Charles Isreal Medina has been assigned the NPI (National Provider Identifier) 1255539821. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles Isreal Medina?
The Charles Isreal Medina is situated at 4500 S Lancaster Rd, in the city of Dallas, state of TX, with the zip code 752167167.
What is Charles Isreal Medina's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Isreal Medina's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When was the Charles Isreal Medina's 1255539821 issued?
The Charles Isreal Medina's 1255539821 was issued on 2007-07-05.
As of what date was the information pertaining to Charles Isreal Medina, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles Isreal Medina, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-05-10.