Healthcare Provider Details

I. General information

NPI: 1841270121
Provider Name (Legal Business Name): KAREN A MARTIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 W MAHONE DR STE D
ARTESIA NM
88210-2075
US

IV. Provider business mailing address

PO BOX 12
ARTESIA NM
88211-0012
US

V. Phone/Fax

Practice location:
  • Phone: 575-746-1883
  • Fax: 575-746-1885
Mailing address:
  • Phone: 575-746-1883
  • Fax: 575-746-1885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number02406754007
License Number StateNM

VIII. Authorized Official

Name: KAREN A MARTIN
Title or Position: OWNER
Credential: KAREN A MARTIN
Phone: 575-746-1883