Individual
JASON L MARTIN
Active
Individual
JASON L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0028949
TX
207R00000X
Internal Medicine Physician
Primary
N7140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216275201
—
TX
05
—
216275202
—
TX
05
—
216275203
—
TX
01
—
4651577615
MYUTMB 4651577615
—
Enumeration date
08/05/2007
Last updated
10/30/2013
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