Individual
DAVID R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L3389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150569507
—
TX
05
—
150569509
—
TX
01
—
207735
PACIFICARE
TX
01
—
7617368
AETNA
TX
01
—
8CE650
BCBS TX
—
01
—
P000789478
RAILROAD MEDICARE
—
Enumeration date
03/18/2006
Last updated
09/23/2019
Update your record
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