| Waldo Miguel Martinez Jr, MD | |
|
4005 24th St, Lubbock, TX 79410-1835 | |
| (806) 792-2767 | |
| (806) 791-6709 |
| Full Name | Waldo Miguel Martinez Jr |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 4005 24th St, Lubbock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144225459 | NPI | - | NPPES |
| X8359 | Medicaid | NM | |
| 139314209 | Medicaid | TX | |
| 818716 | Other | FIRST HEALTH | |
| 118679100 | Other | TX | FIRSTCARE |
| 87458Y | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G8910 (Texas) | Primary |
| Entity Name | Lubbock Diagnostic Radiology, L.l.p. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215028501 PECOS PAC ID: 4183521859 Enrollment ID: O20031219000036 |
| Entity Name | Radiology Associates Of North Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053470179 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Waldo Miguel Martinez Jr, MD 4005 24th St, Lubbock, TX 79410-1835 Ph: (806) 792-2767 | Waldo Miguel Martinez Jr, MD 4005 24th St, Lubbock, TX 79410-1835 Ph: (806) 792-2767 |
Kulia Kini Kakarala, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8445 | |
Gregory Scott Poe, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 | |
Thomas Richard Windisch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 21st St, Lubbock, TX 79410 Phone: 806-791-0399 Fax: 806-791-0373 | |
Brian James Bruening, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 3525 19th St, Lubbock, TX 79410 Phone: 806-687-8346 Fax: 888-856-2848 | |
Sinan Ali Qurban Ali Bana, MD Radiology Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 214-820-2361 | |
Scott Cranston Porter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 | |
David Kirk Jenkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 22nd Pl, Lubbock, TX 79410 Phone: 806-725-8000 |