Martinez Diabetic Footwear

Organization Active NPI Durable Medical Equipment & Medical Supplies · Odem, TX

NPI 1902086499 · NPPES record last updated Nov 13, 2007

Key facts

NPI
1902086499
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MARTINEZ DIABETIC FOOTWEAR
Practice address
402 Voss Ave
Odem, TX 78370
Phone
(361) 368-3252
NPI assigned
Nov 13, 2007
Organization subpart
No

Authorized official

Name
Doris S Martinez
Title
Certified Pedorthist
Phone
(361) 368-3252

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

402 Voss Ave
Odem, TX 78370
Phone (361) 368-3252

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

402 Voss Ave
Odem, TX 78370

Mailing address

402 Voss Ave
PO Box 721
Odem, TX 78370
Phone (361) 368-3252

Other identifiers

IdentifierTypeStateIssuer
148099801MedicaidTX

Other providers in Odem, TX

All providers in Odem, TX · Durable Medical Equipment & Medical Supplies in Texas

Sources for this page

Verify at the official NPI Registry.