MEDICARE: GARCIA 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
1	3416L0300X	Land Ambulance	1000181	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1000181	OTHER	TX	TEXAS DEPT STATE HEALTH SERVICES EMS

General Provider Information

NPI Number	:	1033364880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARCIA MARTINEZ

Provider Business Mailing Address
First Line	:	506 MAJESTIC RIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77049-1778
Country	:	US
Telephone Number	:	832-407-1457
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 MAJESTIC RIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77049-1778
Country	:	US
Telephone Number	:	832-407-1457
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. NATHAN MARTINEZ
Credential	:
Telephone Number	:	832-407-1457

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	03/19/2010

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Directions to “GARCIA MARTINEZ ” Practice Location

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