SERGIO MEDINA
NPI 1336012707
Nurse Practitioner - Family in El Paso, TX
Active since September 24, 2025
About Sergio Medina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERGIO MEDINA (NPI 1336012707) is an individual family provider in El Paso, Texas, licensed in Texas (1213799) and active in the NPI registry since September 2025.
NPPES Registry Identity
NPI1336012707
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSERGIO MEDINA
Location Address5801 BYRON STEl Paso, TX 79904-5317
Mailing Address5801 Byron StEl Paso, TX 79904-5317
Phone(915) 626-9225
Sole ProprietorYes
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1336012707 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1213799
5801 BYRON ST, El Paso, TX 79904
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336012707, enumerated as an "individual" on September 24, 2025.
The provider is located at 5801 BYRON ST EL PASO, TX 79904 and the phone number is (915) 626-9225.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
