Individual
ANDREW MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-4708
Mailing address
315 N SAN SABA STE 1003, SAN ANTONIO, TX 78207-3100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303729301
GROUP TPI NUMBER
TX
Enumeration date
03/24/2014
Last updated
02/04/2015
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