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
Phone: (281) 261-0182
Fax: (281) 969-1764
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255615977 | NPPES |
Texas | MEDICAID | 286302907 | |
Texas | Other | 27433 |
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