Provider Demographics
NPI:1730945247
Name:MARTINEZ, OSCAR ANDRES (MA)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:ANDRES
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12612 JOPLIN DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-0686
Mailing Address - Country:US
Mailing Address - Phone:469-494-2981
Mailing Address - Fax:
Practice Address - Street 1:5899 PRESTON RD STE 404
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9590
Practice Address - Country:US
Practice Address - Phone:214-618-0588
Practice Address - Fax:877-345-4565
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90034101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional