Individual
CHARMAINE ALICIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9849 KENWORTHY ST, EL PASO, TX 79924-4402
(915) 545-9795
(915) 545-9799
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41163 TEMPORARY
TX
207Q00000X
Family Medicine Physician
Primary
M3312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177228702
—
TX
01
—
8R5088
BCBS OF TEXAS
TX
Enumeration date
05/04/2006
Last updated
04/17/2026
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