Individual
STEVEN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2975 E BROAD ST STE 200, MANSFIELD, TX 76063-9186
(817) 453-3500
(817) 453-3520
Mailing address
810 N ZANG BLVD, DALLAS, TX 75208-4263
(214) 941-4243
(214) 941-1153
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740810670
NPI
TX
Enumeration date
01/20/2020
Last updated
04/27/2020
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