Individual
DR. TANYA M MARTINEZ-FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-4630
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME90300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270043300
—
FL
Enumeration date
11/08/2005
Last updated
12/28/2011
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