Individual
CHRISTOPHER LANCE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7001 GRANBURY RD, FORT WORTH, TX 76133-5912
(817) 346-1925
(817) 292-7237
Mailing address
7001 GRANBURY RD, FORT WORTH, TX 76133-5912
(817) 346-1925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
768811
TX
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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