MEDICARE: DR. RUBEN PATRICIO MARTINEZ PHD LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	10624	TX

General Provider Information

NPI Number	:	1619076668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUBEN PATRICIO MARTINEZ PHD LPC

Provider Business Mailing Address
First Line	:	1026 PEDDIE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77009-4437
Country	:	US
Telephone Number	:	281-455-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 HEIGHTS BLVD STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2552
Country	:	US
Telephone Number	:	281-455-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	12/23/2023

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