MEDICARE: DR. JAMES C MARTIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E1039	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	121265608	OTHER	TX	CSHCN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144226572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES C MARTIN MD

Provider Business Mailing Address
First Line	:	7703 FLOYD CURL DR # MC7977
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-450-6620
Fax Number	:

Provider Business Practice Location Address
First Line	:	4118 POND HILL RD STE 202
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78231-1282
Country	:	US
Telephone Number	:	210-450-6620
Fax Number	:	210-450-6621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	03/02/2018

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