Individual
RODOLFO E. MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 22ND PL, LUBBOCK, TX 79410-1121
(806) 725-8000
(806) 723-6142
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5228
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
88-219
NM
207RX0202X
Medical Oncology Physician
Primary
G6211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081556501
—
TX
01
—
150003
HMO BLUE
—
05
—
16774
—
NM
01
—
2318892
BLUE LINK
—
01
—
83G986
BCBS
—
Enumeration date
07/17/2006
Last updated
03/26/2024
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