Individual
MARY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 WEST LOOP S, SUITE 1525, HOUSTON, TX 77027-3515
(713) 965-9998
(866) 965-9921
Mailing address
2100 WEST LOOP S, SUITE 1525, HOUSTON, TX 77027-3515
(713) 965-9998
(866) 965-9921
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2058760
TX
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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