Individual
GARY MARTIN MAILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4316 JAMES CASEY ST, SUITE B 100, AUSTIN, TX 78745-1116
(512) 306-1903
(512) 551-9295
Mailing address
PO BOX 4268, AUSTIN, TX 78765-4268
(512) 306-1903
(512) 551-9295
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
J9186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10015657
AMERIGROUP
TX
05
—
118009002
—
TX
01
—
87Y621
BCBS
TX
Enumeration date
09/22/2005
Last updated
04/28/2015
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