Individual
DORA ALICIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
122 FM 506, SANTA ROSA, TX 78593-0226
(956) 365-6071
(956) 365-6072
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TEMPORARY LICENSE
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEMPORARY LICENSE
TMB
TX
Enumeration date
06/10/2010
Last updated
06/10/2010
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