Individual
MR. CERVANDO MARTINEZ JR.
Active
Individual
MR. CERVANDO MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D9228
TX
2084P0805X
Geriatric Psychiatry Physician
D9228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102510803
—
TX
05
—
102510804
—
TX
01
—
102510805
CSHCN
TX
Enumeration date
06/14/2006
Last updated
03/05/2019
Update your record
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