Individual
MRS. MARY LOUISE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT-I
Contact information
Practice address
3190 PITTMAN RD, SAINT HEDWIG, TX 78152-3602
(210) 667-1001
Mailing address
3190 PITTMAN RD, SAINT HEDWIG, TX 78152-3602
(210) 667-1001
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
36210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36210
TEXAS DEPARTMENT OF HEALTH SERVICES
TX
Enumeration date
12/09/2009
Last updated
12/09/2009
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