Healthcare Provider Details

I. General information

NPI: 1164334678
Provider Name (Legal Business Name): MEDICAL ACCESS NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WESTWOOD PL STE 400
BRENTWOOD TN
37027-5057
US

IV. Provider business mailing address

111 WESTWOOD PL STE 400
BRENTWOOD TN
37027-5057
US

V. Phone/Fax

Practice location:
  • Phone: 855-831-1840
  • Fax: 855-831-1840
Mailing address:
  • Phone: 855-831-1840
  • Fax: 855-831-1840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN MARTINEZ
Title or Position: DIRECTOR
Credential: MD
Phone: 855-831-1840