Martinez Medical Group, Pllc | |
310 Springside San Antonio TX 78260-4903 | |
(210) 379-1709 | |
Not Available |
Full Name | Martinez Medical Group, Pllc |
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Speciality | Family Medicine |
Location | 310 Springside, San Antonio, Texas |
Authorized Official Name and Position | Fernando Martinez (FACILITY MEDICAL DIRECTOR) |
Authorized Official Contact | 2103791709 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Martinez Medical Group, Pllc 310 Springside San Antonio TX 78260-4903 Ph: () - | Martinez Medical Group, Pllc 310 Springside San Antonio TX 78260-4903 Ph: (210) 379-1709 |
NPI Number | 1467971929 |
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Provider Enumeration Date | 09/15/2017 |
Last Update Date | 09/15/2017 |
Medicare PECOS PAC ID | 9436425717 |
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Medicare Enrollment ID | O20171101002091 |
Identifier | Type | State | Issuer |
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1467971929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | K5346 (Texas) | Primary |
Provider Name | Fernando Martinez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033101415 PECOS PAC ID: 2163479684 Enrollment ID: I20050406000409 |
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