Individual
DR. MIKE MARTINEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 SAINT LOUIS AVE STE 100, FORT WORTH, TX 76104-1228
(682) 285-1044
(682) 285-1044
Mailing address
120 SAINT LOUIS AVE STE 100, FORT WORTH, TX 76104-1256
(682) 285-1044
(855) 361-0894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Q3043
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
Q3043
TX
Other
Enumeration date
03/25/2010
Last updated
07/26/2022
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