Individual
ADILENE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 MCKINNEY AVE, DALLAS, TX 75205-4526
(972) 749-5623
Mailing address
4200 MCKINNEY AVE, DALLAS, TX 75205-4526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120085901
—
TX
Enumeration date
11/11/2022
Last updated
11/11/2022
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