| Doctor Name: | ISMAEL MARTINEZ |
| NPI Number: | 1821326513 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 304 Nueces Cotulla, TX - 780142237 |
| Business Phone Number: | 8308793048 |
| Business Fax Number: | 8308796390 |
| Mailing Address: | Po Box 262, COTULLA |
| State: | TX |
| Postal Code: | 780140262 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2009 |
| NPI Last Update Date: | 11/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |