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Individual
HENRY MARTINEZ
Active
Individual
HENRY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386463901
—
TX
01
—
680592
MEDICARE
—
01
—
AP136638
ADVANCED PRACTICE NURSING LICENSE
TX
01
—
P02144918
RR MEDICARE
—
Enumeration date
03/01/2018
Last updated
07/01/2021
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