Individual
DR. OCTAVIO N. MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H., M.B.A.
Contact information
Practice address
3001 LAKE AUSTIN BLVD, 4TH FLOOR, AUSTIN, TX 78703-4200
(512) 471-7625
(512) 471-9608
Mailing address
PO BOX 7998, AUSTIN, TX 78713-7998
(512) 471-7625
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2006-01771
NC
2084P0800X
Psychiatry Physician
Primary
K8946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153929804
—
TX
01
—
8G8010
BCBS PROVIDER #
TX
01
—
8H2040
BCBS PROVIDER #
TX
Enumeration date
12/23/2005
Last updated
01/16/2010
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