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Organization
INNATE MEDICAL SOLUTIONS PLLC
Active
Organization
INNATE MEDICAL SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DEWAYNE MARTIN DC (PRES)
(972) 789-1234
Entity
Organization
Contact information
Practice address
7504 SAN JACINTO PL, PLANO, TX 75024-3233
(972) 789-1234
Mailing address
7504 SAN JACINTO PL, PLANO, TX 75024-3233
(972) 789-1234
(972) 665-6557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP123042
TX
208600000X
Surgery Physician
—
—
Other
Enumeration date
02/24/2016
Last updated
11/17/2020
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