Individual
BALDEMAR MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3032 LOPEZ RD, ROMA, TX 78584-6685
(956) 257-5085
Mailing address
3032 LOPEZ RD, ROMA, TX 78584-6685
(956) 257-5085
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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