| Doctor Name: | MR. JESUS L MARTINEZ |
| NPI Number: | 1265427280 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ANP |
| License Number: | 241509 |
| Business Practice Address: | 141 Vinton Rd E5 Vinton, TX - 798218809 |
| Business Phone Number: | 9158863088 |
| Business Fax Number: | 9158863022 |
| Mailing Address: | P.o. Box 3467, ANTHONY |
| State: | NM |
| Postal Code: | 880213467 |
| Phone Number: | 9158863088 |
| Fax Number: | 9158663022 |
| NPI Enumeration Date: | 09/15/2005 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/23/2006 |
| NPI Reactivation Date: | 04/13/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 241509 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |