Individual
KRISTINA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 GATHERING PASS, CONVERSE, TX 78109-3492
(512) 568-4918
Mailing address
8915 GATHERING PASS, CONVERSE, TX 78109-3492
(512) 568-4918
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1171098
TX
Other
Enumeration date
06/17/2019
Last updated
09/10/2024
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