Individual
ENRIQUE N/A MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8628 PAPER BIRCH LN, FORT WORTH, TX 76123-5058
(682) 551-7175
Mailing address
8628 PAPER BIRCH LN, FORT WORTH, TX 76123-5058
(682) 551-7175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
90463
TX
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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