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1114362985 NPI number — SANDRA MILENA AMADO MEDINA M.D.

NPI Number: 1114362985
Health Care Provider/Practitioner: SANDRA MILENA AMADO MEDINA M.D.

Information about “1114362985” NPI (SANDRA MILENA AMADO MEDINA M.D.) exists in 1114362985 in HTML format HTML  |  1114362985 in plain Text format TXT  |  1114362985 in PDF (Portable Document Format) PDF  |  1114362985 in an XML format XML  formats.

NPI Number : 1114362985 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114362985",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMADO MEDINA",
    "FirstName": "SANDRA",
    "MiddleName": "MILENA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "AMADO",
    "OtherFirstName": "SANDRA",
    "OtherMiddleName": "MILENA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "26077 NELSON WAY",
    "SecondLineMailingAddress": "STE 301",
    "MailingAddressCityName": "KATY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77494-6677",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-228-2005",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "26077 NELSON WAY",
    "SecondLinePracticeLocationAddress": "SUITE 301",
    "PracticeLocationAddressCityName": "KATY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77494-5642",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-882-5632",
    "PracticeLocationAddressFaxNumber": "832-553-2686",
    "EnumerationDate": "05/06/2013",
    "LastUpdateDate": "04/20/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "Q5141",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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