person
Edward A Martinez, PA
Medical Physician Assistant in Roanoke, Texas
NPI 1720233042

Edward A Martinez is a Medical Physician Assistant based in Roanoke, TX and is specialized in Medical. Edward A Martinez practices in Roanoke, TX and has the professional credentials of PA. The NPI Number for Edward A Martinez is 1720233042 and holds a License No. PA04174 (Texas).

The current practice location address for Edward A Martinez is 1212 N Highway 377, Roanoke, TX and can be reached out via phone at 682-831-1591 and via fax at 682-831-1598.

Location: 1212 N Highway 377, Roanoke, TX, 76262-6916
person
Provider Profile Details
NPI Number
1720233042
Provider Name
Edward A Martinez
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1212 N Highway 377, Roanoke, TX, 76262-6916
Phone Number
682-831-1591
Fax Number
682-831-1598
Provider Enumeration Date
12/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA04174 01 TX STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1212 N Highway 377
City
State
Zip
76262-6916
Phone Number
682-831-1591
Fax Number
682-831-1598
person
Provider Business Mailing Address Details
Address
1212 N Highway 377
City
State
Zip
76262-6916
Phone Number
682-831-1591
Fax Number
682-831-1598
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA04174 (Texas)
Definition
Definition to come...
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