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Contact Information

LEO MARTINEZ I, NBSTSA 151273
602 BAYOU VISTA DR
DEER PARK, TX77536
 Phone: 713-269-5817
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for LEO MARTINEZ I · (Male)

NPI # 1053711408
Status Active
Credentials NBSTSA 151273
Entity Individual
Enumeration date 09/03/2014
Last updated 09/10/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # SA00684
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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