Organization
STOCKYARDS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MARTINEZ II DO (OWNER)
(682) 285-1044
Entity
Organization
Contact information
Practice address
120 SAINT LOUIS AVE STE 100, FORT WORTH, TX 76104-1256
(682) 285-1044
Mailing address
120 SAINT LOUIS AVE STE 100, FORT WORTH, TX 76104-1256
(682) 285-1044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207L00000X
Anesthesiology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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