Individual
DR. RODOLFO RANDY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-5611
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N7459
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
N7458
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
N7459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DF868
BCBS
TX
Enumeration date
05/02/2011
Last updated
01/28/2022
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