MEDICARE: SARAH OLSTYN MARTINEZ D.O.

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	207P00000X	Emergency Medicine Physician	N4639	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063602001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH OLSTYN MARTINEZ D.O.

Provider Business Mailing Address
First Line	:	5015 WESTFIELD DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-5029
Country	:	US
Telephone Number	:	773-558-9165
Fax Number	:

Provider Business Practice Location Address
First Line	:	11113 RESEARCH BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5236
Country	:	US
Telephone Number	:	512-324-6010
Fax Number	:

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

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	10/28/2020

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