Doctor Name: | MR. HECTOR JAVIER MARTINEZ |
NPI Number: | 1053774372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPAS, PA-C |
License Number: | PA10445 |
Business Practice Address: | 1010 James St Weslaco, TX - 785966654 |
Business Phone Number: | 9569681621 |
Business Fax Number: | 9564470646 |
Mailing Address: | 1010 James St, WESLACO |
State: | TX |
Postal Code: | 785966654 |
Phone Number: | 9569681621 |
Fax Number: | 9564470646 |
NPI Enumeration Date: | 04/04/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA10445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |