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Andrea Sustache Medina
NPI 1770222028 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3813 Periwinkle Dr
Fort Worth, TX 76137 - Phone
- (787) 983-4456
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas