Individual
ISMAEL MARTINEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 NUECES, COTULLA, TX 78014-2237
(830) 879-3048
(830) 879-6390
Mailing address
PO BOX 262, COTULLA, TX 78014-0262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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