Individual
ESTELA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12749 TRE MAXIMILIANO AVE, EL PASO, TX 79938-8266
(915) 422-3513
Mailing address
12749 TRE MAXIMILIANO AVE, EL PASO, TX 79938-8266
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35139
—
235Z00000X
Speech-Language Pathologist
35139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
627031110
—
TX
Enumeration date
06/09/2014
Last updated
03/03/2020
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