Individual
DR. MARTIN ALAN MENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 JUNIUS ST, SUITE 145, DALLAS, TX 75246-1615
(972) 386-7546
(972) 701-8008
Mailing address
3900 JUNIUS ST, SUITE 145, DALLAS, TX 75246-1615
(972) 386-7546
(972) 701-8008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E5411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70012312
MEDICARE RAILROAD
TX
Enumeration date
05/04/2006
Last updated
03/27/2008
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