Martin, Teresa D

Martin, Teresa D is an individual health care provider with primary practice located at 1855 Gattis School Rd , Round Rock TX 78664-7428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Martin, Teresa D can be contacted via phone (512) 238-6268.

Contact Information

Primary practice address
1855 Gattis School Rd Round Rock TX 78664-7428
Phone: (512) 238-6268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 22297 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1792 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 35362 Montana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12432 Texas

Profile Details

NPI number 1104890672
LBN Legal business name Martin, Teresa D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jun 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104890672 NPPES
Texas Other PA12432 PA LICENSE

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