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General NPI Number Information
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NPI Number | 1407086861
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Entity Type | Individual
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Provider Name | MESHA MARTINEZ MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 12171 W PARMER LN STE 102
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City | CEDAR PARK
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State | TX
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Zip | 78613-7362
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Country | US
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Telephone | 737-339-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 2875 W WHITESTONE BLVD STE 170
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City | CEDAR PARK
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State | TX
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Zip | 78613-8005
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Country | US
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Telephone | 737-339-9907
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | U9029
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | U9020
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | U9029
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License Number State | TX
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