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Organization
MICHAEL R MARTIN DC PC
Active
Organization
MICHAEL R MARTIN DC PC
Active
Other names
Martin Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R MARTIN D.C. (PRESIDENT)
(972) 867-1500
Entity
Organization
Contact information
Practice address
1212 COIT RD, SUITE 101, PLANO, TX 75075-7740
(972) 867-1500
(972) 867-5968
Mailing address
1212 COIT RD, SUITE 101, PLANO, TX 75075-7740
(972) 867-1500
(972) 867-5968
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023PY
BLUE CROSS BLUE SHIELD
TX
01
—
4251787
AETNA ID
TX
01
—
50552
FIRST HEALTH
TX
Enumeration date
12/13/2006
Last updated
08/12/2010
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