MEDICARE: DR. ROSALIND ELAINE MARTZ MD

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	207R00000X	Internal Medicine Physician	K2070	TX

General Provider Information

NPI Number	:	1528012614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALIND ELAINE MARTZ MD

Provider Business Mailing Address
First Line	:	2911 MEDICAL ARTS ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3376
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 MEDICAL ARTS ST
Second Line	:	SUITE 18
City	:	AUSTIN
State	:	TX
Zip	:	78705-3376
Country	:	US
Telephone Number	:	512-476-0190
Fax Number	:

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	07/13/2007

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