Individual
BRIANNA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 E SAN ANTONIO ST STE 520E, VICTORIA, TX 77901-6086
(361) 576-0633
(361) 576-0639
Mailing address
605 E SAN ANTONIO ST STE 520E, VICTORIA, TX 77901-6086
(361) 576-0633
(361) 576-0639
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10084
TX
363AS0400X
Surgical Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10084
TEXAS PERMIT
TX
Enumeration date
11/04/2015
Last updated
02/27/2023
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