Doctor Name: | DR. JOSE ALEJANDRO MARTINEZ |
NPI Number: | 1164426649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | K1546 |
Business Practice Address: | 4201 Bee Cave Rd Suite B 200 West Lake Hills, TX - 787466465 |
Business Phone Number: | 5124789845 |
Business Fax Number: | 5124783067 |
Mailing Address: | 4201 Bee Cave Rd, Suite B 200 WEST LAKE HILLS |
State: | TX |
Postal Code: | 787466465 |
Phone Number: | 5124789845 |
Fax Number: | 5124783067 |
NPI Enumeration Date: | 06/13/2005 |
NPI Last Update Date: | 08/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | K1546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |