Individual
MR. CERVANDO MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7526 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-4001
(210) 450-6440
(210) 450-2104
Mailing address
7526 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-4001
(210) 450-6440
(210) 450-2104
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
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