MEDICARE: MS. MARY HELEN MARTINEZ MA, SLP/CCC

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	14576	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	86087T	OTHER	TX	BCBS
2	75285003678239A002	OTHER	TX	TRICARE

General Provider Information

NPI Number	:	1689777500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY HELEN MARTINEZ MA, SLP/CCC

Provider Business Mailing Address
First Line	:	166 BARBARA BND
Second Line	:	APT/SUITE
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78148-3602
Country	:	US
Telephone Number	:	210-508-5298
Fax Number	:

Provider Business Practice Location Address
First Line	:	5210 THOUSAND OAKS DR # 1333
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-6974
Country	:	US
Telephone Number	:	210-733-9050
Fax Number	:	210-733-9069

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	02/12/2026

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Directions to “ MS. MARY HELEN MARTINEZ MA, SLP/CCC” Practice Location

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