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NPI Code Detail

MEDICARE: RACHAEL MICHELLLE MARTINEZ AGACNP-BC

MEDICARE: RACHAEL MICHELLLE MARTINEZ AGACNP-BC
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
1363LA2100XAcute Care Nurse Practitioner1001092TX

General Provider Information

NPI Number : 1427921089
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL MICHELLLE MARTINEZ AGACNP-BC
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-7208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-5202
Country : US
Telephone Number : 214-648-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2025
Last Update Date : 12/01/2025

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Directions to “ RACHAEL MICHELLLE MARTINEZ AGACNP-BC” Practice Location

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