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NPI Code Detail

MEDICARE: MS. HORTENSIA MARTINEZ TELLEZ LCSW

MEDICARE:  MS. HORTENSIA  MARTINEZ TELLEZ  LCSW
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
1171M00000XCase Manager/Care Coordinator21759TX

General Provider Information

NPI Number : 1538470729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HORTENSIA MARTINEZ TELLEZ LCSW
Provider Business Mailing Address
First Line : 6830 SPRING ROSE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-2945
Country : US
Telephone Number : 210-771-1957
Fax Number :
Provider Business Practice Location Address
First Line : 6830 SPRING ROSE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-2945
Country : US
Telephone Number : 210-771-1957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2010
Last Update Date : 06/23/2010

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Directions to “ MS. HORTENSIA MARTINEZ TELLEZ LCSW” Practice Location

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