Provider Demographics
NPI:1306102306
Name:NEJAT, MARTIN JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:JAMES
Last Name:NEJAT
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:20800 US HIGHWAY 281 N STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7699
Mailing Address - Country:US
Mailing Address - Phone:210-610-8923
Mailing Address - Fax:726-900-4054
Practice Address - Street 1:20800 US HIGHWAY 281 N
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7523
Practice Address - Country:US
Practice Address - Phone:210-581-9053
Practice Address - Fax:726-900-4054
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ6249207Q00000X, 207Q00000X
CODR.0055561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX353283001Medicaid