Individual
DR. JUAN G. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 TUSCAN DR, SUITE 110, IRVING, TX 75039-4133
(214) 496-1100
(214) 496-1110
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M6748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081585401
—
TX
05
—
190115903
—
TX
01
—
8DJ007
BCBSTX
TX
01
—
M6748
MEDICAL LICENSE
TX
Enumeration date
06/14/2007
Last updated
05/16/2013
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