Individual
BENJAMIN SETH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3111
(214) 648-5461
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N2187
TX
207R00000X
Internal Medicine Physician
N2187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N2187
MEDICAL LICENSE
TX
Enumeration date
07/20/2007
Last updated
08/03/2011
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