Organization
LAREDO CARDIOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN R. MARTINEZ MD (PHYSICIAN)
(956) 717-2328
Entity
Organization
Contact information
Practice address
10710 MCPHERSON RD STE 105, LAREDO, TX 78045-6363
(956) 717-2328
(956) 717-2395
Mailing address
10710 MCPHERSON RD STE 105, LAREDO, TX 78045-6363
(956) 717-2328
(956) 717-2395
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L3390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F4950
BCBS OF TEXAS
TX
Enumeration date
11/20/2007
Last updated
04/20/2008
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