Individual
MAYRA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3256 SOUTHERN DR STE 461, GARLAND, TX 75043-1533
(214) 385-5445
Mailing address
2622 ARCADY DR, GARLAND, TX 75041-3601
(469) 803-0670
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62541
TX
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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