Organization
MARTINEZ DIABETIC FOOTWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS S MARTINEZ (CERTIFIED PEDORTHIST)
(361) 368-3252
Entity
Organization
Contact information
Practice address
402 VOSS AVE, ODEM, TX 78370
(361) 368-3252
Mailing address
402 VOSS AVE, PO BOX 721, ODEM, TX 78370
(361) 368-3252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148099801
—
TX
Enumeration date
11/13/2007
Last updated
11/13/2007
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