Individual
JERRY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
825 E RUNDBERG LN UNIT F, AUSTIN, TX 78753-4808
(512) 472-4357
(512) 703-1394
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
93147
TX
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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