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General NPI Number Information
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NPI Number | 1740549401
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Entity Type | Individual
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Provider Name | AZALIA VERONICA MARTINEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 23119 W INTERSTATE 10 BLDG 7
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1767
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Country | US
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Telephone | 210-994-6336
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Fax | 210-994-6441
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Provider Business Mailing Address
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Address Line | 24165 IH-10 WEST SUITE 217, #145
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City | SAN ANTONIO
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State | TX
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Zip | 78257
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | Q6874
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License Number State | TX
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