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Individual
MARYANN MARTIN
Active
Individual
MARYANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
AP133255
TX
363LF0000X
Family Nurse Practitioner
Primary
AP133255
TX
Other
Enumeration date
02/13/2017
Last updated
12/14/2021
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