Individual
DIANA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
2528 SAN MEDINA AVE, DALLAS, TX 75228-3114
(214) 620-8253
Mailing address
PO BOX 721082, DALLAS, TX 75372-1082
(214) 620-8253
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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