Provider Demographics
NPI:1265689590
Name:SANDOVAL MARTINEZ, LUIS ARTURO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ARTURO
Last Name:SANDOVAL MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1200 POST OAK BLVD APT 2407
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3199
Mailing Address - Country:US
Mailing Address - Phone:713-688-1800
Mailing Address - Fax:832-408-7875
Practice Address - Street 1:1919 NORTH LOOP W STE 140
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008
Practice Address - Country:US
Practice Address - Phone:713-688-1800
Practice Address - Fax:832-408-7875
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN1126207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN1126OtherMEDICAL LICENSE