MEDICARE: AMY LYN 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	235Z00000X	Speech-Language Pathologist	43328	TX

General Provider Information

NPI Number	:	1275215626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LYN MARTINEZ

Provider Business Mailing Address
First Line	:	20942 WIND FIELD LANE
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379
Country	:	US
Telephone Number	:	832-531-3992
Fax Number	:

Provider Business Practice Location Address
First Line	:	13801 SCHROEDER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3628
Country	:	US
Telephone Number	:	281-897-4523
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2023
Last Update Date	:	07/13/2024

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Directions to “ AMY LYN MARTINEZ ” Practice Location

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