Individual
DR. MARY ANN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5656 BEE CAVES RD STE 203, WEST LAKE HILLS, TX 78746-5280
(512) 329-6029
Mailing address
5656 BEE CAVES RD STE 203, WEST LAKE HILLS, TX 78746-5280
(512) 329-6029
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J6567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084DK
BCBS ID
TX
Enumeration date
07/25/2006
Last updated
08/23/2022
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