Individual
CANDICE JANE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1920 N COLLINS BLVD, RICHARDSON, TX 75080
(972) 316-4555
Mailing address
4471 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75028-1755
(972) 316-4555
(505) 938-4198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08639
TX
Other
Enumeration date
09/19/2012
Last updated
10/02/2019
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