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Organization
JOSE MARTINEZ MD PA
Active
Organization
JOSE MARTINEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE DE JESUS MARTINEZ M.D. (OWNER/PRESIDENT)
(956) 580-3350
Entity
Organization
Contact information
Practice address
3512 BUDDY OWENS AVE STE 2, MCALLEN, TX 78504-5465
(956) 580-3350
(956) 580-7925
Mailing address
1905 EL MILENO DR, PALMHURST, TX 78573-1247
(956) 580-3350
(956) 580-7925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A5744
MEDICARE
TX
05
—
208399001
—
TX
01
—
DP9002
RR MEDICARE
TX
Enumeration date
11/19/2009
Last updated
03/07/2019
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