Individual
PETE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26619 LINE G ROAD, SAN BENITO, TX 78586
(956) 639-8585
(956) 289-5514
Mailing address
PO BOX 227, LOZANO, TX 78568-0227
(956) 639-8585
(956) 289-5514
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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