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NPI Code Detail

MEDICARE: MS. DEBBIE J MARTINEZ LCSW

MEDICARE: MS. DEBBIE J MARTINEZ LCSW
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
1104100000XSocial Worker52502TX
21041C0700XClinical Social Worker52502TX

General Provider Information

NPI Number : 1811202724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBBIE J MARTINEZ LCSW
Provider Business Mailing Address
First Line : 101 FEU FOLLET RD STE 100
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-4234
Country : US
Telephone Number : 713-686-9194
Fax Number : 713-686-9413
Provider Business Practice Location Address
First Line : 4411 DACOMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8611
Country : US
Telephone Number : 713-686-9194
Fax Number : 713-686-9413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2010
Last Update Date : 03/30/2022

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