# R. MARK MARTIN, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447572599
- **Authorized official:** RAY MARTIN MD (OWNER)
- **Authorized official phone:** (325) 643-3656

## Contact information

- **Practice address:** 2506 CROCKETT DR, BROWNWOOD, TX 76801-5900
- **Practice address phone:** (325) 643-3656
- **Practice address fax:** (325) 646-8484
- **Mailing address:** 2506 CROCKETT DR, BROWNWOOD, TX 76801-5900
- **Mailing address phone:** (325) 643-3656
- **Mailing address fax:** (325) 646-8484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | F4248 | TX | Yes |

## Other

- **Enumeration date:** 02/17/2010
- **Last updated:** 02/17/2010