Most Relevant Information
Provider Data
| NPI Number: | 1003520958 |
| Provider Name: | CRYSTAL MARTINEZ HIS |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: | HAD0960 |
Most Important Dates
| Enumeration Date: | 01/05/2023 |
| Last Updated: | 01/05/2023 |
Provider Practice Location
3821 MENAUL BLVD NE STE H
ALBUQUERQUE
NM
871102831
Practice Location Phone/Fax
| Phone: | 5058304327 |
| Fax: |
Provider Mailing Location
5303 50TH ST
LUBBOCK
TX
794141817
Provider Mailing Phone/Fax
| Phone: | 8067998950 |
| Fax: | 8067854327 |