Individual
MR. RICK EDMUND MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
12345 INWOOD RD, DALLAS, TX 75244-8094
(972) 387-8700
(972) 235-3113
Mailing address
12345 INWOOD RD, DALLAS, TX 75244-8094
(972) 387-8700
(972) 238-1362
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1251
TX
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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