Organization
ULTRA HEALTH PROVIDERS II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MARTINEZ (CEO)
(731) 394-1145
Entity
Organization
Contact information
Practice address
217 6TH AVE N STE 43952, NASHVILLE, TN 37219-1903
(731) 394-1145
Mailing address
PO BOX 26485, DEPT 1138, OKLAHOMA CITY, OK 73126
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/09/2024
Last updated
07/14/2026
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