Individual
LISA MARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 BABCOCK, STE 101, SAN ANTONIO, TX 78229
(210) 692-1388
(210) 692-1629
Mailing address
2424 BABCOCK, STE 101, SAN ANTONIO, TX 78229
(210) 692-1388
(210) 692-1629
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41388
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K9821
BCBS
TX
Enumeration date
02/22/2007
Last updated
01/14/2015
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