Healthcare Provider Details

I. General information

NPI: 1811856016
Provider Name (Legal Business Name): PATH TO PEACE PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 MONTGOMERY PKWY NE # 2H
ALBUQUERQUE NM
87111-3876
US

IV. Provider business mailing address

PO BOX 7572
SPRING TX
77387-7572
US

V. Phone/Fax

Practice location:
  • Phone: 832-868-9458
  • Fax: 888-414-9764
Mailing address:
  • Phone: 832-868-9458
  • Fax: 888-414-9764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY STEVEN MARTINEZ
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 832-868-9458