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NPI Code Detail

MEDICARE: DR. JUAN MARTIN MARTINEZ JR. MD

MEDICARE:  DR. JUAN MARTIN MARTINEZ JR. 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
1390200000XStudent in an Organized Health Care Education/Training ProgramTX

General Provider Information

NPI Number : 1710731948
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN MARTIN MARTINEZ JR. MD
Provider Business Mailing Address
First Line : 1113 JOHN FREEMAN BLVD STE 308S
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3412
Country : US
Telephone Number : 713-500-7616
Fax Number :
Provider Business Practice Location Address
First Line : 1113 JOHN FREEMAN BLVD STE 308S
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3412
Country : US
Telephone Number : 713-500-7616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/17/2024

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Directions to “ DR. JUAN MARTIN MARTINEZ JR. MD” Practice Location

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