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Individual

ANNE F MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
908 ROCKMOOR DR, GEORGETOWN, TX 78628-8966
(512) 868-0901
(512) 868-1527
Mailing address
908 ROCKMOOR DR, GEORGETOWN, TX 78628-8966
(512) 868-0901
(512) 868-1527

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04096
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA04096
PHYSICIAN'S ASST LICENSE
TX
Enumeration date
11/28/2006
Last updated
07/08/2007
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