Individual
MATTHEW MICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6225 N STATE HIGHWAY 161, SUITE 200, IRVING, TX 75038-2223
(214) 687-0001
(972) 518-2100
Mailing address
6225 N STATE HIGHWAY 161, SUITE 200, IRVING, TX 75038-2223
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R088021
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127317
TX
Other
Enumeration date
12/16/2014
Last updated
01/05/2023
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