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Individual
MRS. JANIE MARTINEZ AVILA
Active
Individual
MRS. JANIE MARTINEZ AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
678190
TX
363LF0000X
Family Nurse Practitioner
Primary
AP118295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210127101
—
TX
05
—
210127103
—
TX
01
—
808N52
BC/BS #
TX
01
—
875N24
BC/BS#
TX
01
—
P00805751
RAILROAD MEDICARE #
TX
01
—
P01090419
RAILROAD MEDICARE PTAN
TX
Enumeration date
10/05/2009
Last updated
02/26/2025
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