Provider Demographics
NPI:1386079770
Name:MARTINEZ, GABRIEL FELIPE (PA-C)
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:FELIPE
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 PECAN BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3694
Mailing Address - Country:US
Mailing Address - Phone:956-686-6050
Mailing Address - Fax:
Practice Address - Street 1:4115 PECAN BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3694
Practice Address - Country:US
Practice Address - Phone:956-686-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03919363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical