Organization
INNATE MEDICAL SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DEWAYNE MARTIN DC (PRESIDENT)
(972) 788-9123
Entity
Organization
Contact information
Practice address
2698 N GALLOWAY AVE STE 106, MESQUITE, TX 75150-6389
(972) 789-1234
Mailing address
7504 SAN JACINTO PL, PLANO, TX 75024-3233
(972) 789-1234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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