Individual
MICHELLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
555 E BASSE RD STE 206, SAN ANTONIO, TX 78209-8329
(210) 239-1624
Mailing address
555 E BASSE RD STE 206, SAN ANTONIO, TX 78209-8329
(210) 239-1624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1180837
TX
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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