Individual
MRS. ILEANA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1310 MURCHISON DRIVE, SUITE 100, EL PASO, TX 79902
(915) 544-4500
(915) 544-4572
Mailing address
1310 MURCHISON DRIVE, SUITE 100, EL PASO, TX 79902
(915) 544-4500
(915) 546-9430
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K5151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096348003
—
TX
01
—
8R1600
BCBS
—
Enumeration date
09/09/2005
Last updated
05/14/2015
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