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NPI Code Detail

MEDICARE: DR ARTHUR A MEDINA OD PC

MEDICARE: DR ARTHUR A MEDINA OD PC
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
1152W00000XOptometrist

General Provider Information

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

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