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General NPI Number Information
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NPI Number | 1073532099
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Entity Type | Organization
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Legal Business Name | DR ARTHUR A MEDINA OD PC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2903 N ST MARY'S
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City | SAN ANTONIO
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State | TX
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Zip | 78212-3500
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Country | US
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Telephone | 210-225-4141
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Fax | 210-229-9400
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Provider Business Mailing Address
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Address Line | 2903 N SAINT MARYS ST
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City | SAN ANTONIO
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State | TX
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Zip | 78212-3532
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Country | US
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Telephone | 210-225-4141
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Fax | 210-229-9400
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | ARTHUR ALFONSO MEDINA JR.
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Credential | OD
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Telephone | 210-225-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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