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Individual

DR. ALFREDO L. MARTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 12TH AVE STE 170, FORT WORTH, TX 76104-3926
(817) 810-0500
Mailing address
215 OLD HIGHWAY 1187, BURLESON, TX 76028-0281
(817) 926-2663
(817) 293-8860

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J1722
TX
208VP0000X
Pain Medicine Physician
Primary
J1722
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137587512
TX
Enumeration date
05/11/2006
Last updated
01/31/2024
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