Individual
DR. GILBERT MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4242 MEDICAL DR, SUITE 6250, SAN ANTONIO, TX 78229-5640
(210) 614-3011
(210) 615-6906
Mailing address
16014 VIA SHAVANO, SAN ANTONIO, TX 78249-2364
(210) 614-3011
(210) 615-6906
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
30743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009DG
BLUE CROSS BLUE SHIELD
TX
05
—
030241601
—
TX
Enumeration date
03/20/2007
Last updated
05/24/2016
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