# DR. CLEM C MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1558305037
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | DC2052 | TX | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 11/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0068EV | BCBS | TX |
| 01 | — | 8114624 | BLUE LIKE NUMBER | TX |
| 01 | — | 8A4830 | BCBS NUMBER | TX |
| 01 | — | P00967449 | MEDICARE RAILROAD CARRIER | TX |