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NPI Code Detail

MEDICARE: EDGAR MARTINEZ

MEDICARE: EDGAR MARTINEZ
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
1341600000XAmbulance015107TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881625739
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDGAR MARTINEZ
Provider Business Mailing Address
First Line : PO BOX 40096
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-1096
Country : US
Telephone Number : 210-734-5275
Fax Number : 210-348-7114
Provider Business Practice Location Address
First Line : 7231 POSS RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-3135
Country : US
Telephone Number : 210-734-5275
Fax Number : 210-348-7114
Authorized Official
Title or Position : OWNER
Name : MR. EDGAR MARTINEZ
Credential :
Telephone Number : 210-734-5275
Provider Enumeration Date : 07/06/2006
Last Update Date : 06/17/2008

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Directions to “EDGAR MARTINEZ ” Practice Location

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