Individual
EMMANUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1204 BALES ST, CLEBURNE, TX 76033-4315
(817) 944-0552
Mailing address
1204 BALES ST, CLEBURNE, TX 76033-4315
(817) 944-0552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
968542
TX
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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