Individual
FERNANDO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
517 SW MILITARY DR STE 106, SAN ANTONIO, TX 78221-1639
(210) 921-0322
(210) 921-1451
Mailing address
517 SW MILITARY DR STE 106, SAN ANTONIO, TX 78221-1639
(210) 921-0322
(210) 921-1451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047413206
WELLMED MEDICAID
TX
01
—
8G5331
WELLMED MEDICARE
TX
Enumeration date
08/22/2005
Last updated
12/19/2023
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