Provider Demographics
NPI:1679309991
Name:MARTINEZ HERNANDEZ, PABLO ANDRES (DPT)
Entity type:Individual
Prefix:
First Name:PABLO
Middle Name:ANDRES
Last Name:MARTINEZ HERNANDEZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23815 PENNINGTON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1668
Mailing Address - Country:US
Mailing Address - Phone:832-928-8748
Mailing Address - Fax:
Practice Address - Street 1:9563 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-4531
Practice Address - Country:US
Practice Address - Phone:713-400-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1400405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist