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Organization
TOTS 2 TEENS KID CARE, PLLC
Active
Organization
TOTS 2 TEENS KID CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA MARTIN P.A.-C (OWNER)
(972) 740-5572
Entity
Organization
Contact information
Practice address
3626 N MACARTHUR BLVD STE 200, IRVING, TX 75062-3643
(972) 256-2028
(972) 570-5672
Mailing address
2120 SURREY LN, MCKINNEY, TX 75072-7132
(972) 740-5572
(972) 570-5672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235490046
—
TX
05
—
1316447360
—
TX
05
—
1497225478
—
TX
05
—
1932395746
—
TX
Enumeration date
05/08/2019
Last updated
05/08/2019
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