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Individual
MR. JAMES RICK MARTIN
Active
Individual
MR. JAMES RICK MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F9779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033395701
—
TX
01
—
FU61
BLUE CROSS
TX
Enumeration date
04/06/2006
Last updated
01/16/2019
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