MEDICARE: DR. JOSE ALEJANDRO MARTINEZ M.D.

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	207KA0200X	Allergy Physician	K1546	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1992984280	OTHER	TX	MEDICARE IDENTIFICATION NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	3383651	OTHER	TX	BLUELINK

General Provider Information

NPI Number	:	1164426649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE ALEJANDRO MARTINEZ M.D.

Provider Business Mailing Address
First Line	:	4201 BEE CAVE RD
Second Line	:	SUITE B 200
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6465
Country	:	US
Telephone Number	:	512-478-9845
Fax Number	:	512-478-3067

Provider Business Practice Location Address
First Line	:	4201 BEE CAVE RD
Second Line	:	SUITE B 200
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6465
Country	:	US
Telephone Number	:	512-478-9845
Fax Number	:	512-478-3067

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	08/05/2011

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Directions to “ DR. JOSE ALEJANDRO MARTINEZ M.D.” Practice Location

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