Martinez, Mario Anthony
Martinez, Mario Anthony is an individual health care provider with primary practice located at 7030 New Sanger Ave Ste 202 , Waco TX 76712-4074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Martinez, Mario Anthony can be contacted via phone (254) 772-4400.Contact Information
Primary practice address
7030 New Sanger Ave Ste 202
Waco TX 76712-4074
Phone: (254) 772-4400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | T5621 | Texas |
Profile Details
NPI number | 1811425820 |
---|---|
LBN Legal business name | Martinez, Mario Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2017 |
Last updated | Feb 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811425820 | NPPES |
Texas | Other | BP10061512 | PIT |
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