Individual
MS. MARTHA J ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 DEEPGROVE DR, HOUSTON, TX 77037-4012
(281) 380-1375
Mailing address
514 DEEPGROVE DR, HOUSTON, TX 77037-4012
(281) 380-1375
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
88439
TX
341600000X
Ambulance
Primary
88439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170939601
—
TX
Enumeration date
09/13/2007
Last updated
03/27/2009
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