Individual
JORDAN HIGHTOWER MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 TERRACE CIR, LAMESA, TX 79331-5014
(806) 787-0678
Mailing address
406 TERRACE CIR, LAMESA, TX 79331-5014
(806) 787-0678
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8634
TX
Other
Enumeration date
10/04/2019
Last updated
11/15/2023
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