Individual
BAILEY GRACE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2401 S 31ST ST BLDG 35, TEMPLE, TX 76508-0001
(254) 724-2663
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18292
TX
Other
Enumeration date
08/21/2024
Last updated
05/15/2025
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