Provider Demographics
NPI:1144042789
Name:MARTINEZ, KALEY ARGELIS
Entity type:Individual
Prefix:
First Name:KALEY
Middle Name:ARGELIS
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 ROCKY POINT LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3259
Mailing Address - Country:US
Mailing Address - Phone:713-514-2639
Mailing Address - Fax:
Practice Address - Street 1:8900 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6931
Practice Address - Country:US
Practice Address - Phone:281-778-1350
Practice Address - Fax:866-568-7674
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician