Provider Demographics
NPI:1144226572
Name:MARTIN, JAMES C (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7703 FLOYD CURL DR # MC7977
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-6620
Mailing Address - Fax:
Practice Address - Street 1:4118 POND HILL RD STE 202
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1282
Practice Address - Country:US
Practice Address - Phone:210-450-6620
Practice Address - Fax:210-450-6621
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1039207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121265607Medicaid
TX121265608OtherCSHCN
TX121265606Medicaid
TX121265603Medicaid
TX121265605OtherCIDC
TX87041BMedicare ID - Type Unspecified
TX858248OtherFIRST HEALTH
TX276815OtherPRIVATE HEALTHCARE SYST
TX742806531AOtherHUMANA
TX87041BOtherBCBS OF TEXAS
TXC18865Medicare UPIN