Individual
JOANNA GARZA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
13407 EMERALD SKIES WAY, HORIZON CITY, TX 79928-6462
(915) 252-9910
Mailing address
13407 EMERALD SKIES WAY, HORIZON CITY, TX 79928-6462
(915) 252-9910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02576
TX
363A00000X
Physician Assistant
PA20020032
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001020
BC BS OF NM
NM
Enumeration date
05/18/2006
Last updated
09/27/2013
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