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Individual

ENRIQUE ANTONIO MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
809 LYDIA ST, AUSTIN, TX 78702-2622
(512) 499-8015
(512) 499-0623
Mailing address
809 LYDIA ST, AUSTIN, TX 78702-2622
(512) 499-8015
(512) 499-0623

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F1782
TX

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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