Individual
KELLY MICHELLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2006 BROADWAY ST STE 101, PEARLAND, TX 77581-5559
(832) 779-8521
Mailing address
2906 CONCORD KNOLL DR, PEARLAND, TX 77581-4791
(832) 233-0464
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP136617
TX
Other
Enumeration date
02/14/2018
Last updated
08/31/2020
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