R. MARK MARTIN, MD PA; NPI #1447572599

Contact Information

R. MARK MARTIN, MD PA

2506 CROCKETT DR
BROWNWOOD, TX 76801-5900

Phone: 325-643-3656
Fax: 325-646-8484
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	207QA0000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for R. MARK MARTIN, MD PA

NPI Number 1447572599

LBN Legal business name R. MARK MARTIN, MD PA

Authorized official RAY MARTIN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/17/2010

Last updated 02/17/2010 - About 16 years ago

Identifiers

License #

F4248

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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