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
Phone: (512) 471-7625
Fax: (512) 471-9608
Website:
Health care specialties
Specialty | Code | License # | 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 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376520080 | NPPES |
Texas | MEDICAID | 153929804 | |
Texas | Other | 8H2040 | |
Texas | Other | 8G8010 |
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