Individual
EVANS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11930 KUDU ST, SAN ANTONIO, TX 78253-5842
(210) 315-8922
Mailing address
11930 KUDU ST, SAN ANTONIO, TX 78253-5842
(210) 315-8922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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