NPI 1003140690
Bennie Martinez
Practice location
- Address
- 121 Townsgate Plz, Clovis, NM 88101-3714
- Phone
- (505) 471-5006
- Fax
- (505) 820-9220
- Mailing address
- PO Box 28220, Santa Fe, NM 87592
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1003140690
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Sep 2009
- Record last updated
- 29 Sep 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.