Martinez, Gustavo R
Martinez, Gustavo R is an individual health care provider with primary practice located at 814 Myrtle Ave , El Paso TX 79901-1512. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martinez, Gustavo R can be contacted via phone (915) 241-7272.Contact Information
Primary practice address
814 Myrtle Ave
El Paso TX 79901-1512
Phone: (915) 241-7272
Fax: (877) 587-9452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 01545 | Texas |
Profile Details
| NPI number | 1154397651 |
|---|---|
| LBN Legal business name | Martinez, Gustavo R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Nov 14th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154397651 | NPPES |
| Texas | Other | 88048Q | BCBS |
| Texas | MEDICAID | 071353903 | BCBS |
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