Provider Demographics
NPI:1215138656
Name:MARTINEZ, OSCAR J (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:J
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 OAKWELL FARMS PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-1726
Mailing Address - Country:US
Mailing Address - Phone:210-960-6998
Mailing Address - Fax:210-245-7932
Practice Address - Street 1:1919 OAKWELL FARMS PKWY STE 110
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-1726
Practice Address - Country:US
Practice Address - Phone:210-960-6998
Practice Address - Fax:210-245-7932
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXN0251207PE0004X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP1-0023452OtherINSTITUTIONAL PERMIT