Provider Demographics
NPI:1669951265
Name:EARLY-MARTINEZ, LINDA GAIL (RN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:GAIL
Last Name:EARLY-MARTINEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 W 15TH ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-4213
Mailing Address - Country:US
Mailing Address - Phone:972-673-0404
Mailing Address - Fax:972-673-0420
Practice Address - Street 1:1255 W 15TH ST STE 1000
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4213
Practice Address - Country:US
Practice Address - Phone:972-673-0404
Practice Address - Fax:972-673-0420
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX567614163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics