MEDICARE: DEE L MARTINEZ MD PA

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	2085R0202X	Diagnostic Radiology Physician

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

General Provider Information

NPI Number	:	1780873067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEE L MARTINEZ MD PA

Provider Business Mailing Address
First Line	:	904 N EWING AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1163
Country	:	US
Telephone Number	:	214-941-8908
Fax Number	:	214-941-8903

Provider Business Practice Location Address
First Line	:	2301 S HAMPTON RD STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-1653
Country	:	US
Telephone Number	:	214-333-3600
Fax Number	:	214-333-0300

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	YVETTE MARTINEZ
Credential	:
Telephone Number	:	214-941-8908

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	10/21/2022

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Directions to “DEE L MARTINEZ MD PA ” Practice Location

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