MEDICARE: CLAUDIA MARTINEZ ROSALES FNP

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	363LF0000X	Family Nurse Practitioner	1219452	TX
2	363L00000X	Nurse Practitioner	1219452	TX
3	363LF0000X	Family Nurse Practitioner	2024038859	MO

General Provider Information

NPI Number	:	1942837919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA MARTINEZ ROSALES FNP

Provider Business Mailing Address
First Line	:	12377 MERIT DR STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-3126
Country	:	US
Telephone Number	:	972-957-3000
Fax Number	:	972-980-3738

Provider Business Practice Location Address
First Line	:	5402 AIRLINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4902
Country	:	US
Telephone Number	:	713-239-1572
Fax Number	:

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

Provider Enumeration Date	:	03/26/2020
Last Update Date	:	01/06/2026

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