Individual
ANTONIA DEANITRA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC
Contact information
Practice address
1777 N RECORD ST APT 4301, DALLAS, TX 75202-1266
(870) 833-0149
Mailing address
1777 N RECORD ST APT 4301, DALLAS, TX 75202-1266
(870) 833-0149
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1094681
TX
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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