# SKIN SOCIETY DERMATOLOGY AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528989472
- **Authorized official:** AUDREY K MARTINEZ NP (OWNER)
- **Authorized official phone:** (409) 248-1515

## Contact information

- **Practice address:** 3380 HIGHWAY 365 STE B, PORT ARTHUR, TX 77642-7705
- **Practice address phone:** (409) 248-1515
- **Mailing address:** 3380 HIGHWAY 365 STE B, PORT ARTHUR, TX 77642-7705
- **Mailing address phone:** (409) 248-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2026
- **Last updated:** 07/24/2026