Individual
MR. DARRYL LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1301 E HOUSTON ST, BEEVILLE, TX 78102-5309
(361) 362-1700
(361) 362-1369
Mailing address
1301 E HOUSTON ST, BEEVILLE, TX 78102-5309
(361) 362-1700
(361) 362-1369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1116481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022JN
BLUE CROSS/BLUE SHIELD
TX
01
—
8T0497
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
09/16/2005
Last updated
01/23/2008
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