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NPI Code Detail

MEDICARE: BRISSA MARTINEZ

MEDICARE: BRISSA MARTINEZ
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
1224Z00000XOccupational Therapy Assistant219047TX

General Provider Information

NPI Number : 1033061254
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRISSA MARTINEZ
Provider Business Mailing Address
First Line : 115 SANDY LN
Second Line :
City : WAXAHACHIE
State : TX
Zip : 75165-6206
Country : US
Telephone Number : 469-471-7423
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MIDWAY RD STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-5263
Country : US
Telephone Number : 972-851-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ BRISSA MARTINEZ ” Practice Location

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