Martin, Deandra

Martin, Deandra is an individual health care provider with primary practice located at 701 S Zarzamora St , San Antonio TX 78207-5209. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Martin, Deandra can be contacted via phone (210) 921-5620.

Contact Information

Primary practice address
701 S Zarzamora St San Antonio TX 78207-5209
Phone: (210) 921-5620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X J3350 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J3350 Texas

Profile Details

NPI number 1730155516
LBN Legal business name Martin, Deandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 21st, 2014 - about 12 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 1730155516 NPPES
Texas MEDICAID 105844804
Texas MEDICAID 105844802

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