Individual
ELIZABETH SHELTON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
637775
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP111400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154196301
—
TX
01
—
8N2901
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/11/2006
Last updated
02/21/2017
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