Provider Demographics
NPI:1912758400
Name:MARTINEZ, JAZMIN
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12255 UNIVERSITY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9489
Mailing Address - Country:US
Mailing Address - Phone:972-542-4646
Mailing Address - Fax:972-542-0909
Practice Address - Street 1:12255 UNIVERSITY DR STE 150
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-9489
Practice Address - Country:US
Practice Address - Phone:972-542-4646
Practice Address - Fax:972-542-0909
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant