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NPI Code Detail

MEDICARE: MRS. ELENA MARIA MARTINEZ WHNP-BC

MEDICARE: MRS. ELENA MARIA MARTINEZ WHNP-BC
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
1363LX0001XObstetrics & Gynecology Nurse Practitioner738892TX
2363LX0001XObstetrics & Gynecology Nurse PractitionerAP115715TX

General Provider Information

NPI Number : 1811904634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELENA MARIA MARTINEZ WHNP-BC
Provider Business Mailing Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114-1756
Country : US
Telephone Number : 817-378-0855
Fax Number : 817-378-0861
Provider Business Practice Location Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114-1756
Country : US
Telephone Number : 817-378-0855
Fax Number : 817-378-0861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 02/17/2020

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Directions to “ MRS. ELENA MARIA MARTINEZ WHNP-BC” Practice Location

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