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General NPI Number Information
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NPI Number | 1285502625
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Entity Type | Organization
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Legal Business Name | MARTINEZ MEDICAL CLINIC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1655 FM 2088
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City | QUITMAN
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State | TX
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Zip | 75783-5012
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Country | US
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Telephone | 903-571-4997
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Fax | 903-213-9254
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Provider Business Mailing Address
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Address Line | 1655 FM 2088
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City | QUITMAN
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State | TX
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Zip | 75783-5012
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Country | US
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Telephone | 903-571-4997
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Fax | 903-213-9254
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Authorized Official
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Title or Position | OWNER
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Name | JOSE RICARDO MARTINEZ
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Credential | MD
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Telephone | 903-571-4997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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