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NPI Code Detail

MEDICARE: KAYLA R MARTIN

MEDICARE: KAYLA R MARTIN
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
1183700000XPharmacy Technician140859TX

General Provider Information

NPI Number : 1093002149
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA R MARTIN
Provider Business Mailing Address
First Line : 5556 GASMER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77035-4502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5556 GASMER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77035-4502
Country : US
Telephone Number : 713-422-2643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2011
Last Update Date : 07/08/2011

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Directions to “ KAYLA R MARTIN ” Practice Location

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