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NPI Code Detail

MEDICARE: BARBARA ANGEL MARTINEZ LCSW

MEDICARE: BARBARA ANGEL MARTINEZ LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker60160TX

General Provider Information

NPI Number : 1023658960
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANGEL MARTINEZ LCSW
Provider Business Mailing Address
First Line : 4699 FOSSIL VISTA DR APT 5209
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-6214
Country : US
Telephone Number : 915-873-1287
Fax Number :
Provider Business Practice Location Address
First Line : 5424 RUFE SNOW DR STE 304
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6686
Country : US
Telephone Number : 817-576-2447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2020
Last Update Date : 01/08/2020

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