Individual
RAUL GERARDO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3202 CHERRY RIDGE DR, SAN ANTONIO, TX 78230-4806
(210) 441-4333
(210) 441-4330
Mailing address
PO BOX 2208, SAN ANTONIO, TX 78298-2208
(210) 805-9800
(210) 805-8770
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
J9906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116615901
—
TX
05
—
116615905
—
TX
Enumeration date
07/19/2005
Last updated
05/12/2023
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