Individual
WALDO MIGUEL MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G8910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118679100
FIRSTCARE
TX
05
—
139314209
—
TX
01
—
818716
FIRST HEALTH
—
01
—
87458Y
BLUE CROSS
TX
05
—
X8359
—
NM
Enumeration date
06/15/2005
Last updated
02/16/2022
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