Individual
DR. DOUGLAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
(512) 509-0253
Mailing address
203 W MAJESTIC OAK, GEORGETOWN, TX 78628-2028
(512) 863-7391
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F6908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158351001
—
TX
Enumeration date
05/23/2005
Last updated
02/07/2013
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