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General NPI Number Information
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NPI Number | 1912299967
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Entity Type | Individual
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Provider Name | HUGO RUBEN MARTINEZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 4910 MUELLER BLVD # 102
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City | AUSTIN
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State | TX
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Zip | 78723-3079
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Country | US
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Telephone | 512-777-2917
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Fax | 512-374-1354
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Provider Business Mailing Address
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Address Line | 4910 MUELLER BLVD # 102
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City | AUSTIN
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State | TX
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Zip | 78723-3079
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Country | US
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Telephone | 512-777-2917
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Fax | 512-374-1354
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | BP10040960
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 57868
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 11018024A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | U8092
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License Number State | TX
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