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General NPI Number Information
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NPI Number | 1063515161
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Entity Type | Individual
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Provider Name | JUAN CARLOS MEDRANO MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7400 FANNIN ST STE 930
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City | HOUSTON
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State | TX
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Zip | 77054-9954
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Country | US
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Telephone | 713-797-1100
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Fax | 713-797-9757
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Provider Business Mailing Address
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Address Line | 7400 FANNIN ST STE 930
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City | HOUSTON
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State | TX
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Zip | 77054-9954
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Country | US
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Telephone | 713-797-1100
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Fax | 713-797-9757
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | F-2803
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License Number State | TX
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