Individual
KIMBERLY B MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5945 SARATOGA BLVD, SUITE C, CORPUS CHRISTI, TX 78414-4225
(361) 853-3222
(361) 980-3619
Mailing address
3533 S ALAMEDA ST, STE. 303, CORPUS CHRISTI, TX 78411-1721
(361) 853-3222
(361) 561-2692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N3869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285350901
—
TX
01
—
N3869
MEDICAL LICENSE
TX
Enumeration date
06/05/2007
Last updated
10/28/2016
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