Provider Demographics
NPI:1689808131
Name:MARTIN, JOHN MATTHEW IV (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MATTHEW
Last Name:MARTIN
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:7950 FLOYD CURL DRIVE
Mailing Address - Street 2:SUITE 909
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-614-3575
Mailing Address - Fax:210-692-7116
Practice Address - Street 1:7950 FLOYD CURL DRIVE
Practice Address - Street 2:SUITE 909
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-614-3575
Practice Address - Fax:210-692-7116
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2017-02-17
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Provider Licenses
StateLicense IDTaxonomies
TXP6217207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology