Individual
DR. JOSEPH M MARTELLOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
910 E HOUSTON ST STE 230, TYLER, TX 75702-8364
(903) 606-7300
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
M9482
TX
208VP0000X
Pain Medicine Physician
Primary
M9482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193219602
—
TX
05
—
223656
—
AZ
01
—
75-2616977-042
TRICARE TMFH
TX
01
—
75-2616977-103
TRICARE
TX
01
—
8CU877
BCBS
TX
Enumeration date
05/14/2007
Last updated
01/30/2026
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