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NPI Code Detail

MEDICARE: MESHA MARTINEZ MD

MEDICARE:   MESHA  MARTINEZ  MD
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
12085R0202XDiagnostic Radiology PhysicianU9029TX
22085P0229XPediatric Radiology PhysicianU9029TX
32085N0700XNeuroradiology PhysicianU9020TX
42085R0202XDiagnostic Radiology Physician47226OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1959090075OTHERINMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407086861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MESHA MARTINEZ MD
Provider Business Mailing Address
First Line : 2875 W WHITESTONE BLVD STE 170
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-8005
Country : US
Telephone Number : 737-339-9907
Fax Number :
Provider Business Practice Location Address
First Line : 12171 W PARMER LN STE 102
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-7362
Country : US
Telephone Number : 737-339-9907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2009
Last Update Date : 04/07/2026

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Directions to “ MESHA MARTINEZ MD” Practice Location

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