Individual
FRED MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 GENERAL CAVAZOS BLVD, KINGSVILLE, TX 78363-7129
(361) 595-1661
Mailing address
9804 VALDERRAMA DR, AUSTIN, TX 78717-3851
(512) 218-0212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G8907
TX
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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