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Individual
MR. JACOB LEE MARTIN
Active
Individual
MR. JACOB LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1161218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2274981
FIRST HEALTH
TX
01
—
742862345
GOLDEN RULE
TX
01
—
772862345
GREAT WEST
TX
01
—
8T4542/0092EX
BCBS
TX
Enumeration date
08/20/2006
Last updated
03/19/2026
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