Individual
MR. MARTIN TYLER MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
208 N PRAIRIE ST, PILOT POINT, TX 76258-4057
(940) 324-6620
(940) 324-6624
Mailing address
4915 LAKEPARK DR, SANGER, TX 76266-1406
(806) 215-4519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2077941
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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