Organization
LIVE OAK ALLERGY & ASTHMA CLINIC; PA
Active
Other names
RAIQUA S. ARASTU MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL JUAN MARTINEZ JR. MD (OWNER)
(210) 314-5805
Entity
Organization
Contact information
Practice address
11515 TOEPPERWEIN RD., #202, LIVE OAK, TX 78233-3166
(210) 646-6978
(210) 646-6979
Mailing address
11515 TOEPPERWEIN RD., #202, LIVE OAK, TX 78233-3166
(210) 646-6978
(210) 646-6979
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
H0024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175331101
—
TX
Enumeration date
08/30/2006
Last updated
07/06/2021
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