Provider Demographics
NPI:1356661706
Name:HECTOR R. MARTINEZ MD PA
Entity Type:Organization
Organization Name:HECTOR R. MARTINEZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-532-3877
Mailing Address - Street 1:1900 N OREGON ST STE 307
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3347
Mailing Address - Country:US
Mailing Address - Phone:915-532-3877
Mailing Address - Fax:915-533-5969
Practice Address - Street 1:1900 N OREGON ST STE 307
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3347
Practice Address - Country:US
Practice Address - Phone:915-532-3877
Practice Address - Fax:915-533-5969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD-5784207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123402301Medicaid
TX123402301Medicaid