Individual
DR. HAL DAVID MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
411 N WASHINGTON AVE, SUITE 7300, DALLAS, TX 75246-1713
(214) 820-9520
(214) 820-9516
Mailing address
3900 JUNIUS ST STE 500, DALLAS, TX 75246-1621
(214) 820-9520
(214) 820-9516
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2934
OK
207X00000X
Orthopaedic Surgery Physician
Primary
P2144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101910B
—
OK
01
—
1760488936
GROUP NPI
TX
01
—
OON85X
MEDICARE GROUP
TX
01
—
P00040307
RAILROAD MEDICARE
OK
01
—
P01127057
RAILROAD MEDICARE
TX
Enumeration date
02/03/2006
Last updated
05/19/2022
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