Martinez, Mesha

Martinez, Mesha is an sole proprietor health care provider with primary practice located at 9935 N Lake Creek Pkwy , Austin TX 78717. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Martinez, Mesha can be contacted via phone (832) 824-3512.

Contact Information

Primary practice address
9935 N Lake Creek Pkwy Austin TX 78717
Phone: (832) 824-3512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X U9029 Texas
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X U9029 Texas

Profile Details

NPI number 1407086861
LBN Legal business name Martinez, Mesha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2009
Last updated Mar 23rd, 2024 - about 8 months 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 1407086861 NPPES
Indiana Other 959090075 MEDICARE PTAN
Indiana MEDICAID 300017398 MEDICARE PTAN

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