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Individual

MIKE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
7622 LOUIS PASTEUR DR STE 100, SAN ANTONIO, TX 78229-4019
(210) 614-7840
(210) 562-2252
Mailing address
7622 LOUIS PASTEUR DR STE 100, SAN ANTONIO, TX 78229-4019
(210) 614-7840
(210) 562-2252

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01696
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TXB159254
WELLMED MEDICAL GROUP
Enumeration date
06/03/2008
Last updated
04/02/2025
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