MEDICARE: BIANCA MARTINEZ

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	45152	TX

General Provider Information

NPI Number	:	1740122787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA MARTINEZ

Provider Business Mailing Address
First Line	:	101 W HILLSIDE RD STE 6A
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-3181
Country	:	US
Telephone Number	:	956-722-6221
Fax Number	:	956-722-6275

Provider Business Practice Location Address
First Line	:	101 W HILLSIDE RD STE 6A
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-3181
Country	:	US
Telephone Number	:	956-722-6221
Fax Number	:	956-722-6275

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ BIANCA MARTINEZ ” Practice Location

Language	Start Address	Practice Location

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