Minnie Soto Martinez
Individual provider Active NPI Pharmacy Technician · Lytle, TX
NPI 1174106975 · NPPES record last updated Apr 30, 2021
Key facts
- NPI
- 1174106975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 304999 (TX)
- Practice address
- 19337 McDonald St # V
Lytle, TX 78052-3622 - Phone
- (830) 772-5748
- NPI assigned
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304999 | TX | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 304999 | TX | Yes |
Addresses
Primary practice location
19337 McDonald St # V
Lytle, TX 78052-3622
Mailing address
19337 McDonald St # V
Lytle, TX 78052-3622
Phone (830) 772-5748
Other providers in Lytle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.