MEDICARE: ASTRID BELEM MEDRANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP141881	TX
2	2085R0001X	Radiation Oncology Physician	841606	TX

General Provider Information

NPI Number	:	1003476789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASTRID BELEM MEDRANO

Provider Business Mailing Address
First Line	:	2201 INWOOD ROAD MONCRIEF BUILDING 2ND FLOOR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7320
Country	:	US
Telephone Number	:	214-645-8525
Fax Number	:	214-645-0977

Provider Business Practice Location Address
First Line	:	2201 INWOOD ROAD MONCRIEF BUILDING 2ND FLOOR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7320
Country	:	US
Telephone Number	:	214-645-8525
Fax Number	:	214-645-0977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2019
Last Update Date	:	02/07/2026

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Directions to “ ASTRID BELEM MEDRANO ” Practice Location

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