Provider Demographics
NPI:1619907532
Name:MARTINEZ, FRANK E (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:E
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:400 N ALLEN DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2555
Mailing Address - Country:US
Mailing Address - Phone:972-727-1184
Mailing Address - Fax:972-390-8115
Practice Address - Street 1:400 N ALLEN DR
Practice Address - Street 2:SUITE 304
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2555
Practice Address - Country:US
Practice Address - Phone:972-727-1184
Practice Address - Fax:972-390-8115
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2675208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ2675OtherSTATE MEDICAL LICENCE #
TXJ2675OtherSTATE MEDICAL LICENCE #