Individual
GORDON HUNTER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N TEXAS AVE, SUITE 4200, WEBSTER, TX 77598-4966
(281) 332-3142
(281) 332-7568
Mailing address
333 N TEXAS AVE, SUITE 4200, WEBSTER, TX 77598-4966
(281) 332-3142
(281) 332-7568
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J5107
TX
2086S0129X
Vascular Surgery Physician
Primary
J5107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096412404
—
TX
01
—
1914907
UNITED HEALTHCARE
TX
01
—
5173755
AETNA
TX
01
—
8W7600
BCBS
TX
Enumeration date
07/29/2005
Last updated
08/14/2024
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