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NPI Code Detail

MEDICARE: ERICA MARTINEZ FNP

MEDICARE: ERICA MARTINEZ FNP
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
1363LF0000XFamily Nurse PractitionerAP142732TX

General Provider Information

NPI Number : 1609482835
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA MARTINEZ FNP
Provider Business Mailing Address
First Line : 6915 WEST AVE
Second Line :
City : CASTLE HILLS
State : TX
Zip : 78213-1822
Country : US
Telephone Number : 103-411-4872
Fax Number :
Provider Business Practice Location Address
First Line : 6915 WEST AVE
Second Line :
City : CASTLE HILLS
State : TX
Zip : 78213-1822
Country : US
Telephone Number : 210-341-1487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2020
Last Update Date : 05/23/2024

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Directions to “ ERICA MARTINEZ FNP” Practice Location

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