Provider Demographics
NPI:1407852700
Name:MARTINS, JOSEPH TODD (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:TODD
Last Name:MARTINS
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:PO BOX 731912
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-1912
Mailing Address - Country:US
Mailing Address - Phone:903-877-7635
Mailing Address - Fax:903-877-7754
Practice Address - Street 1:721 CLINIC DR
Practice Address - Street 2:STE A
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2043
Practice Address - Country:US
Practice Address - Phone:903-592-6152
Practice Address - Fax:903-526-0629
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2166207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J8441OtherBLUE CROSS BLUE SHIELD
TX0458358-03Medicaid
TXP00136694Medicare ID - Type UnspecifiedRAILROAD MEDICARE
TX8J8441OtherBLUE CROSS BLUE SHIELD
TXH29560Medicare UPIN