Individual
PAM A. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
5201 HARRY HINES BLVD, WISH TUBAL CLINIC, DALLAS, TX 75235-7708
(214) 590-5306
(214) 590-2798
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
577923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039610302
—
TX
05
—
039610303
—
TX
05
—
039610304
—
TX
05
—
039610305
—
TX
05
—
039610306
—
TX
05
—
039610307
—
TX
05
—
039610308
—
TX
05
—
039610309
—
TX
05
—
039610310
—
TX
Enumeration date
12/28/2006
Last updated
05/27/2009
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