MEDICARE: ROCHELLE MARTIN

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1821465238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE MARTIN

Provider Business Mailing Address
First Line	:	311 N VISTA DR APT 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-5387
Country	:	US
Telephone Number	:	214-641-6338
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 N VISTA DR APT 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-5387
Country	:	US
Telephone Number	:	214-641-6338
Fax Number	:

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

Provider Enumeration Date	:	09/02/2015
Last Update Date	:	09/02/2015

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Directions to “ ROCHELLE MARTIN ” Practice Location

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