Individual
DR. JUAN G. MARTINEZ
Active
Individual
DR. JUAN G. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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