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Individual

SHONDA LYNNETTE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSA

Contact information

Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3560
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3560
(832) 655-4141
(713) 457-5188

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00438
TX
363AS0400X
Surgical Physician Assistant
SA00438
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81NN50
BCBS
TX
01
81NN51
BCBS
TX
Enumeration date
11/18/2009
Last updated
05/05/2015
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