Doctor Name: | MS. MARTHA J ETHRIDGE |
NPI Number: | 1649465550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 88439 |
Business Practice Address: | 514 Deepgrove Dr Houston, TX - 770374012 |
Business Phone Number: | 2813801375 |
Business Fax Number: | |
Mailing Address: | 514 Deepgrove Dr, HOUSTON |
State: | TX |
Postal Code: | 770374012 |
Phone Number: | 2813801375 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | 88439 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |