Individual
JARED MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
755 N 11TH ST, SUITE P3600, BEAUMONT, TX 77702-1500
(409) 838-5214
Mailing address
PO BOX 5587, BEAUMONT, TX 77726-5587
(409) 838-5214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125762
TX
Other
Enumeration date
05/22/2014
Last updated
12/09/2016
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