| Doctor Name: | MRS. MARTHA HARTGRAVES |
| NPI Number: | 1063775815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | O.T. |
| License Number: | 106899 |
| Business Practice Address: | 2009 Montana Ave El Paso, TX - 799033418 |
| Business Phone Number: | 9155333511 |
| Business Fax Number: | |
| Mailing Address: | 3922 Porter Ave, EL PASO |
| State: | TX |
| Postal Code: | 799306214 |
| Phone Number: | 8013808202 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2012 |
| NPI Last Update Date: | 06/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 106899 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |