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Individual
MARTIN X REYES
Active
Individual
MARTIN X REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201308801
—
TX
05
—
201308802
—
TX
05
—
201308803
—
TX
05
—
201308804
—
TX
Enumeration date
07/13/2006
Last updated
09/19/2013
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