Individual
MS. DIANA TERESA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 W COLLEGE ST STE 337, GRAPEVINE, TX 76051-3565
(817) 481-1588
Mailing address
3083 HERSCHEL AVE APT 430, DALLAS, TX 75219-2073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
02/27/2024
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