Individual
EDWARD A MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04174
STATE LICENSE NUMBER
TX
Enumeration date
12/01/2008
Last updated
06/10/2013
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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