IndividualActive
Alex Martynenko
NPI 1124833629 · Physical Medicine & Rehabilitation Physician · Colleyville, TX
Provider details
- NPI number
- 1124833629
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 1404068 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1109 Church St
Colleyville, TX 76034-5849
Phone: (817) 498-3919
Fax: (817) 498-7080
Approximate (ZIP-level) locationGet directions
Mailing address
1109 Church St
Colleyville, TX 76034-5849
Registry dates
- Enumerated
- 2025-02-11
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.