Individual
DR. MIGUEL JUAN MARTINEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11515 TOEPPERWEIN RD STE 201, LIVE OAK, TX 78233-3166
(210) 646-6978
(210) 646-6979
Mailing address
11515 TOEPPERWEIN RD STE 201, LIVE OAK, TX 78233-3166
(210) 646-6978
(855) 919-4370
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
J4905
TX
207KA0200X
Allergy Physician
J4905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065AY
BC/BS
TX
05
—
096812502
—
PR
05
—
096812504
—
TX
01
—
C0085771
DPS
TX
Enumeration date
10/24/2006
Last updated
11/21/2025
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