Provider Demographics
NPI:1154383248
Name:SCHATZ, MARTHA PETERSON (MD)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:PETERSON
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DRIVE MAIL CODE 6230
Mailing Address - Street 2:UTHSCSA OPHTHALMOLOGY
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3900
Mailing Address - Country:US
Mailing Address - Phone:210-567-8400
Mailing Address - Fax:210-567-8413
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:UTHSCSA OPHTHALMOLOGY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-8400
Practice Address - Fax:210-567-8413
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4695207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155442001Medicaid
TX8A0965Medicare PIN
TX155442001Medicaid
TXF93318Medicare UPIN