Individual
MARTHA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.O.G.
Contact information
Practice address
1076 E LOS EBANOS BLVD, BROWNSVILLE, TX 78520-9988
(956) 544-2001
(956) 546-4567
Mailing address
95 E PRICE RD, BLDG A, BROWNSVILLE, TX 78521-3531
(956) 544-2001
(956) 546-4567
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G8909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1325714-02
—
TX
01
—
88N805
BLUE CROSS
TX
Enumeration date
05/27/2005
Last updated
01/23/2019
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