Individual
DR. HENRY ENOC MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 OAK DR S, SUITE 202, LAKE JACKSON, TX 77566-5676
(979) 297-3098
(979) 297-1180
Mailing address
201 OAK DR S, SUITE 202, LAKE JACKSON, TX 77566-5676
(979) 297-3098
(979) 297-1180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L4560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155149102
—
TX
Enumeration date
10/07/2005
Last updated
05/01/2019
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