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325 W 3rd St, Mercedes, TX 78570-3105 | |
(956) 514-0559 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 325 W 3rd St, Mercedes, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740424266 | NPI | - | NPPES |
019592701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5142TG (Texas) | Primary |
Provider Name | Lora N Martinez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770696593 PECOS PAC ID: 6103867411 Enrollment ID: I20090515000466 |
Mailing Address | Practice Location Address |
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325 W 3rd St, Mercedes, TX 78570-3105 Ph: (956) 514-0559 | 325 W 3rd St, Mercedes, TX 78570-3105 Ph: (956) 514-0559 |
Lora Nadine Martinez, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 325 W 3rd St, Mercedes, TX 78570 Phone: 956-514-0559 | |
Lora N Martinez Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 W 3rd St, Mercedes, TX 78570 Phone: 956-514-0559 |