NPI 1114117819
Adda O Medina, OD
Practice location
- Address
- 3128 Forest Ln STE 252, Dallas, TX 75234-7764
- Phone
- (972) 243-3373
- Fax
- (972) 243-3373
Registered specialties
Optician
Primary
Registry record
- NPI
- 1114117819
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jul 2007
- Record last updated
- 28 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.