MEDICARE: PATH TO PEACE PSYCHIATRY PLLC

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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1811856016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATH TO PEACE PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	PO BOX 7572
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77387-7572
Country	:	US
Telephone Number	:	832-868-9458
Fax Number	:	888-414-9764

Provider Business Practice Location Address
First Line	:	10401 MONTGOMERY PKWY NE # 2H
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-3876
Country	:	US
Telephone Number	:	832-868-9458
Fax Number	:	888-414-9764

Authorized Official
Title or Position	:	OWNER
Name	:	ANTHONY STEVEN MARTINEZ
Credential	:	PMHNP-BC
Telephone Number	:	832-868-9458

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	06/04/2026

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