Martinez, Mary Gloria

Martinez, Mary Gloria is an sole proprietor health care provider with primary practice located at 8933 Ankerson St , El Paso TX 79904-1320. She recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Personal Care Attendant, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Martinez, Mary Gloria can be contacted via phone (915) 629-2079.

Contact Information

Primary practice address
8933 Ankerson St El Paso TX 79904-1320
Phone: (915) 629-2079
Fax: (915) 755-7191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 012684 Texas
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 012684 Texas
Agencies / In Home Supportive Care 253Z00000X 012684 Texas

Profile Details

NPI number 1083179568
LBN Legal business name Martinez, Mary Gloria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2019
Last updated Feb 8th, 2019 - about 5 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 1083179568 NPPES
Texas MEDICAID 1669646402

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