Individual
DR. CARLOS RISIK MARTINEZ LICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-5000
(210) 916-2077
Mailing address
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-5000
(210) 916-2077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME159487
FL
208D00000X
General Practice Physician
ME159487
FL
Other
Enumeration date
04/02/2021
Last updated
12/19/2024
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