Individual
AMBER LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
2200 BERGQUIST DR, LACKLAND A F B, TX 78236-9907
(210) 292-2010
Mailing address
159 COUNTY ROAD 675, DEVINE, TX 78016-4633
(210) 748-6345
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
134435
TX
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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