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Individual

MARY ALICE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2342
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2015
Last updated
07/16/2018
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