MEDICARE: DR. CHARLES THOMAS MARTINEZ DC

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	111N00000X	Chiropractor	15934	TX

General Provider Information

NPI Number	:	1386408128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES THOMAS MARTINEZ DC

Provider Business Mailing Address
First Line	:	6100 BANDERA RD STE 414
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1667
Country	:	US
Telephone Number	:	833-426-5016
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 BANDERA RD STE 414
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1667
Country	:	US
Telephone Number	:	833-839-7246
Fax Number	:

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

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/12/2024

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Directions to “ DR. CHARLES THOMAS MARTINEZ DC” Practice Location

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