Individual provider · NPI-1
Patricia Gayle Martin
Health Educator · Conroe, TX
NPI number1821677220
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1821677220
- Entity type
- Individual (NPI-1)
- Name
- Patricia Gayle Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2021
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174H00000X | Health Educator | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 171400000X | Health & Wellness Coach | – | TX | |
| 174H00000X | Health Educator | – | TX |
Practice location
22 Robin TrlConroe, TX 77304-4879
Phone 936-444-7749
Mailing address
22 Robin TrlConroe, TX 77304-4879
Phone 936-444-7749
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