MEDICARE: MARTIN SOLOMON KATZ

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1790329175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN SOLOMON KATZ

Provider Business Mailing Address
First Line	:	3004 PUMPKIN HARVEST AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-0393
Country	:	US
Telephone Number	:	504-232-5302
Fax Number	:

Provider Business Practice Location Address
First Line	:	3004 PUMPKIN HARVEST AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-0393
Country	:	US
Telephone Number	:	702-675-9490
Fax Number	:

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

Provider Enumeration Date	:	10/29/2019
Last Update Date	:	10/29/2019

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Directions to “ MARTIN SOLOMON KATZ ” Practice Location

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