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Individual

MESHA MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12171 W PARMER LN STE 102, CEDAR PARK, TX 78613-7362
(737) 339-9907
Mailing address
2875 W WHITESTONE BLVD STE 170, CEDAR PARK, TX 78613-8005
(737) 339-9907

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
U9020
TX
2085P0229X
Pediatric Radiology Physician
U9029
TX
2085R0202X
Diagnostic Radiology Physician
Primary
47226
OK
2085R0202X
Diagnostic Radiology Physician
U9029
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300017398
IN
01
959090075
MEDICARE PTAN
IN
Enumeration date
07/20/2009
Last updated
04/07/2026
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