Individual
MR. ANGEL CUELLAR MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 MORGAN AVE., SUITE 600, CORPUS CHRISTI, TX 78405-1856
(361) 881-5131
(361) 881-6013
Mailing address
2701 MORGAN AVENUE, SUITE 600, CORPUS CHRISTI, TX 78405-1856
(361) 881-5131
(361) 881-6013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1000228
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2186363-01
—
TX
05
—
2186363-02
—
TX
Enumeration date
02/07/2012
Last updated
08/28/2013
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