Organization
CLINICA MONTERREY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR MANUEL MARTINEZ-SORIA M.D. (PRESIDENT)
(210) 827-1014
Entity
Organization
Contact information
Practice address
5138 ASHTON AUDREY, SAN ANTONIO, TX 78249-1792
(210) 334-3330
(210) 334-3334
Mailing address
5138 ASHTON AUDREY, SAN ANTONIO, TX 78249-1792
(210) 334-3330
(210) 334-3334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016KK
BCBS
TX
05
—
158467401
—
TX
05
—
158468201
—
TX
01
—
8J9020
BCBS
TX
Enumeration date
11/19/2007
Last updated
07/27/2010
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