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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES ISREAL MEDINA, DNP, FNP-C, ENP-C

Active

DR. CHARLES ISREAL MEDINA, DNP, FNP-C, ENP-C is a Nurse Practitioner healthcare provider located in DALLAS, Texas. NPI 1255539821 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · DALLAS, TX

Registration Details

NPI Number
1255539821
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2007 (19.129599517128 yrs)
Last Updated
May 10, 2018
Licenses
17346 (CA)
A150308 (IA)
AP132602 (TX)

Practice Information

Address
4500 S LANCASTER RD
DALLAS, TX, 752167167
Browse TX providers · Browse ZIP 75216
Phone
2147593593
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in DALLAS, TX

Name Credential NPI
MAUREEN STANEK POLAKOWSKI CRNP, DNP 1023011210
PINA RISHIKESH SONI ANP 1447250014
RUTH ANN SCHNEIDER NP 1316947823
KATHLEEN H. TOTO ACNP 1508866146
CHERYL ANN THAXTON NP 1013919539
MICHELLE L FULLER NPC 1689660466
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.