Organization
LORA N MARTINEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORA NADINE MARTINEZ OD (OPTOMETRIST OWNER)
(956) 514-0559
Entity
Organization
Contact information
Practice address
325 W 3RD ST, MERCEDES, TX 78570-3105
(956) 514-0559
Mailing address
325 W 3RD ST, MERCEDES, TX 78570-3105
(956) 514-0559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5142TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811190091
—
TX
Enumeration date
06/12/2007
Last updated
06/24/2008
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