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Individual

MR. BENANCIO MARTINEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
9190 KATY FWY STE 101, HOUSTON, TX 77055-7440
(832) 358-8600
Mailing address
3606 BIRCH VILLA DR, KINGWOOD, TX 77345-1135
(832) 274-8192

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP135713
TX

Other

Enumeration date
12/05/2017
Last updated
03/17/2018
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