Healthcare Provider Details

I. General information

NPI: 1043074149
Provider Name (Legal Business Name): HALEY SLIGHT MARTINEZ MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2024
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4151 JAIME ZAPATA MEMORIAL HWY STE 212
LAREDO TX
78043-4782
US

IV. Provider business mailing address

8610 N NEW BRAUNFELS AVE STE 101
SAN ANTONIO TX
78217-6359
US

V. Phone/Fax

Practice location:
  • Phone: 210-874-5260
  • Fax: 210-864-4838
Mailing address:
  • Phone: 210-874-5260
  • Fax: 210-864-4838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1152172
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: