Martinez, Octavio N.

Martinez, Octavio N. is an individual health care provider with primary practice located at 3001 Lake Austin Blvd 4Th Floor, Austin TX 78703-4200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Martinez, Octavio N. can be contacted via phone (512) 471-7625.

Contact Information

Primary practice address
3001 Lake Austin Blvd 4Th Floor Austin TX 78703-4200
Fax: (512) 471-9608
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X K8946 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2006-01771 North Carolina

Profile Details

NPI number 1376520080
LBN Legal business name Martinez, Octavio N.
Credentials M.D., M.P.H., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jan 16th, 2010 - about 14 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376520080 NPPES
Texas MEDICAID 153929804
Texas Other 8H2040
Texas Other 8G8010

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