Provider Demographics
NPI:1346375383
Name:MARTINEZ, ALEJANDRO TOMAS (NP)
Entity Type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:TOMAS
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 ORIOLE AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6000
Mailing Address - Country:US
Mailing Address - Phone:956-630-2220
Mailing Address - Fax:956-690-2221
Practice Address - Street 1:4900 N 10TH ST STE D2
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2781
Practice Address - Country:US
Practice Address - Phone:956-630-2220
Practice Address - Fax:956-630-2221
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX884552363L00000X, 363LF0000X
TXAP134332363LF0000X
TX10209111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty