Individual
DR. ROGELIO AVILA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
251377
NY
207L00000X
Anesthesiology Physician
Primary
R5291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G400022131
GHI MEDICARE
NY
01
—
P00907864
RAILROAD MEDICARE
NY
Enumeration date
03/18/2009
Last updated
01/26/2022
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