Individual
MR. RUDY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12700 HILLCREST RD STE 245, DALLAS, TX 75230-2070
(972) 503-1110
Mailing address
12700 HILLCREST RD STE 245, DALLAS, TX 75230-2070
(972) 503-1110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000TX
MASSAGE THERAPIST
TX
Enumeration date
11/03/2010
Last updated
11/03/2010
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