Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC7166 | TX |
NPI | 1265636898 |
---|---|
Provider Name | Nestor Martinez |
First Address | Houston, TX 77076-3512 |
Second Address | Houston, TX 77076-3512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/07/2007 |