Martinez, Juan Carlos

Martinez, Juan Carlos is an individual health care provider with primary practice located at 10435 Greenbough Dr Suite 300, Stafford TX 77477-5000. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martinez, Juan Carlos can be contacted via phone (281) 261-0182.

Contact Information

Primary practice address
10435 Greenbough Dr Suite 300 Stafford TX 77477-5000
Fax: (281) 969-1764
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 27433 Texas

Profile Details

NPI number 1255615977
LBN Legal business name Martinez, Juan Carlos
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2011
Last updated Nov 18th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255615977 NPPES
Texas MEDICAID 286302907
Texas Other 27433

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