Individual
JAVIER MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1600 MONTANA AVE, EL PASO, TX 79902-5622
(915) 775-3577
Mailing address
1600 MONTANA AVE, EL PASO, TX 79902-5622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
861400
TX
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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