MEDICARE: MARTA CORTES FNP-C

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	363LF0000X	Family Nurse Practitioner	AP127316	TX

General Provider Information

NPI Number	:	1548653165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTA CORTES FNP-C

Provider Business Mailing Address
First Line	:	4620 BEECHNUT ST
Second Line	:	APT 211
City	:	HOUSTON
State	:	TX
Zip	:	77096-1820
Country	:	US
Telephone Number	:	281-384-3416
Fax Number	:

Provider Business Practice Location Address
First Line	:	4620 BEECHNUT ST APT 211
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1815
Country	:	US
Telephone Number	:	281-384-3416
Fax Number	:

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

Provider Enumeration Date	:	03/05/2015
Last Update Date	:	03/05/2015

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