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NPI Code Detail

MEDICARE: CRISTINA DENISE MARTINEZ M.S., CCC-SLP

MEDICARE: CRISTINA DENISE MARTINEZ M.S., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist111606TX

General Provider Information

NPI Number : 1184104226
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA DENISE MARTINEZ M.S., CCC-SLP
Provider Business Mailing Address
First Line : 9307 FLINT ARROW
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-4110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5886 DE ZAVALA RD # 102-493
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-2268
Country : US
Telephone Number : 210-802-4808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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Directions to “ CRISTINA DENISE MARTINEZ M.S., CCC-SLP” Practice Location

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