Healthcare Provider Details

I. General information

NPI: 1659623825
Provider Name (Legal Business Name): HERNAN ALONSO MARTINEZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25511 BUDDE RD STE 3901
SPRING TX
77380-4087
US

IV. Provider business mailing address

78 N KNIGHTS CROSSING DR
THE WOODLANDS TX
77382-1493
US

V. Phone/Fax

Practice location:
  • Phone: 281-466-4644
  • Fax:
Mailing address:
  • Phone: 305-281-7578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP125165
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: