Individual
ANTONIO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 SYCAMORE LN, HEREFORD, TX 79045-2817
(806) 223-3174
Mailing address
500 SYCAMORE LN, HEREFORD, TX 79045-2817
(806) 223-3174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
55002
TX
1041C0700X
Clinical Social Worker
Primary
55002
TX
Other
Enumeration date
02/07/2014
Last updated
03/07/2018
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