Healthcare Provider Details

I. General information

NPI: 1285174201
Provider Name (Legal Business Name): YIZHEN ELIZABETH MARTIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2017
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2904 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-5016
US

IV. Provider business mailing address

7300 RANCH ROAD 2222, BLDG 1, STE 200
AUSTIN TX
78730-3255
US

V. Phone/Fax

Practice location:
  • Phone: 702-906-0060
  • Fax:
Mailing address:
  • Phone: 512-628-0465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number28797
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: