Individual
MARTHA C MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 545-6720
(915) 545-6984
Mailing address
4800 ALBERTA AVE, STE. 101, EL PASO, TX 79905-2709
(915) 545-6720
(915) 545-5755
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1095320
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
753666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193067902
—
TX
05
—
193067903
—
TX
05
—
193067904
—
TX
05
—
64127052
—
NM
01
—
89978U
BCBS
TX
01
—
TXB152947
MEDICARE
TX
Enumeration date
03/13/2008
Last updated
02/19/2013
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