Organization
JUAN J MARTIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN J MARTIN MD (OWNER)
(210) 365-6171
Entity
Organization
Contact information
Practice address
8811 VILLAGE DR, SUITE 301, SAN ANTONIO, TX 78217-5415
(210) 229-7234
(210) 229-7235
Mailing address
100 N SANTA ROSA ST, #728, SAN ANTONIO, TX 78207-3205
(210) 229-7234
(210) 229-7235
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
Q0504
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341067201
—
TX
Enumeration date
11/13/2015
Last updated
04/13/2016
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