Individual
DR. MARTHA MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 W BANDERA RD STE 9, BOERNE, TX 78006-2521
(210) 233-7000
(210) 434-1704
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7000
(210) 277-6387
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G3036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116183804
—
TX
Enumeration date
08/12/2006
Last updated
07/21/2022
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