Individual
MARTIN CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5031 27TH ST, LUBBOCK, TX 79407-2229
(806) 831-5781
Mailing address
5031 27TH ST, LUBBOCK, TX 79407-2229
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
84475
TX
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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