| Martinez Neurophysiology | |
|
6825 Summer Ave Bartlett TN 38134-4742 | |
| (901) 644-9688 | |
| (901) 425-9072 |
| Full Name | Martinez Neurophysiology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6825 Summer Ave, Bartlett, Tennessee |
| Authorized Official Name and Position | Jesus Felix Martinez (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9018210338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martinez Neurophysiology Po Box 381723 Germantown TN 38183-1723 Ph: (901) 644-9688 | Martinez Neurophysiology 6825 Summer Ave Bartlett TN 38134-4742 Ph: (901) 644-9688 |
| NPI Number | 1639687478 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 1355699372 |
|---|---|
| Medicare Enrollment ID | O20180808002065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639687478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jesus Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194916882 PECOS PAC ID: 4082708110 Enrollment ID: I20070920000560 |
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