Individual
COREY LANE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 STEPHEN F AUSTIN DR, BROWNWOOD, TX 76801-6545
(325) 646-9545
Mailing address
3600 STEPHEN F AUSTIN DR, BROWNWOOD, TX 76801-6545
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7699
TX
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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