Individual
C MARTIN PERSONS
Active
Individual
C MARTIN PERSONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F4368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114261403
—
TX
01
—
4080053
AETNA
TX
01
—
MDF4368
WORKERS COMP
TX
Enumeration date
08/15/2005
Last updated
10/11/2013
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