Individual
ADRIANA ALICIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 S 6TH ST, KINGSVILLE, TX 78363-5523
(956) 222-8204
Mailing address
622 S 6TH ST, KINGSVILLE, TX 78363-5523
(956) 222-8204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107366
STATE LICENSE
TX
Enumeration date
06/29/2012
Last updated
08/29/2022
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