Individual
MR. MATTHEW MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
533 PECAN BLVD, MCALLEN, TX 78501-2356
(956) 365-4400
(956) 365-4111
Mailing address
512 VICTORIA LN, STE 2, HARLINGEN, TX 78550-3227
(956) 365-4400
(956) 365-4111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356602401
—
TX
Enumeration date
09/04/2015
Last updated
04/13/2022
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