MEDICARE: AMY 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	246ZC0007X	Surgical Assistant	147989	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	147989	OTHER	TX	CSFA

General Provider Information

NPI Number	:	1780542696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MARTINEZ

Provider Business Mailing Address
First Line	:	3101 NASA PKWY STE F
Second Line	:
City	:	SEABROOK
State	:	TX
Zip	:	77586-6475
Country	:	US
Telephone Number	:	832-932-5787
Fax Number	:	832-932-5979

Provider Business Practice Location Address
First Line	:	3101 NASA PKWY STE F
Second Line	:
City	:	SEABROOK
State	:	TX
Zip	:	77586-6475
Country	:	US
Telephone Number	:	832-932-5787
Fax Number	:	832-932-5979

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ AMY MARTINEZ ” Practice Location

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