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NPI Code Detail

MEDICARE: MARIO A MARTINEZ M.D.

MEDICARE: MARIO A MARTINEZ M.D.
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
1174400000XSpecialistM3637TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M3637OTHERTXTEXAS MEDICAL LICENSE

General Provider Information

NPI Number : 1861401739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO A MARTINEZ M.D.
Provider Business Mailing Address
First Line : 3829 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-5814
Country : US
Telephone Number : 361-906-2121
Fax Number : 361-906-2264
Provider Business Practice Location Address
First Line : 3829 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-5814
Country : US
Telephone Number : 361-906-2121
Fax Number : 361-906-2264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 03/27/2013

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Directions to “ MARIO A MARTINEZ M.D.” Practice Location

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