Individual provider Active NPI

Priscila Martinez

  • Physician Assistant
  • Richardson, TX
National Provider Identifier
1104248830
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08834 Issued in TX
Practice address
970 N Coit Rd Ste 3040
Richardson, TX 75080-5418
Phone
(972) 238-8092
Fax
(972) 238-8093
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08834 TX Primary

Addresses

Primary practice location

970 N Coit Rd Ste 3040
Richardson, TX 75080-5418

Mailing address

970 N Coit Rd Ste 3040
Richardson, TX 75080-5418
Phone (972) 238-8092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140401000721 TX Practitioner - Physician Assistant 4183855323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Texas Healthnet Medical Clinic LTDGroup PAC ID 1254354590, 11 clinicians

Practice addresses (Care Compare)

1441 S Midlothian Pkwy
Suite 100a
Midlothian, TX 76065-5597
Phone (469) 800-9440

2021 N Macarthur Boulevard
Irving, TX 75061-2210

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

5800 E Lovers LN
Dallas, TX 75206-2901
Phone (972) 817-6260

7217 Telecom Pkwy
Garland, TX 75044-2203

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

8930 Fourwinds Dr
Suite 101
Windcrest, TX 78239-1971
Phone (210) 653-7444

925 E Southlake Boulevard
100 Baylor Scott and White Urgent Care Southl
Southlake, TX 76092-1477
Phone (817) 912-8560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 13, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 13, 2022 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

950 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 912-9600

7217 Telecom Pkwy
Ste 100A
Garland, TX 75044
Phone (469) 800-2530

2021 N MacArthur Blvd
Irving, TX 75061
Phone (716) 352-8515

4440 E Main St
Midlothian, TX 76065
Phone (972) 723-5590

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

970 N Coit Rd
Ste 3040
Richardson, TX 75080
Phone (972) 238-8092

925 E Southlake Blvd
Southlake, TX 76092
Phone (817) 912-8800

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: pmartinez1064084@direct.sw.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1104248830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N COIT RD STE 3040",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805418",
            "telephone_number": "972-238-8092",
            "fax_number": "972-238-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N COIT RD STE 3040",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805418",
            "telephone_number": "972-238-8092",
            "fax_number": "972-238-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "PRISCILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.