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Individual

DANIEL CARL KALAE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPAS, PA-C, NRP

Contact information

Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
4801 GUS ECKERT RD APT 1015, SAN ANTONIO, TX 78240-4122
(832) 542-1378

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17570
TX

Other

Enumeration date
02/02/2024
Last updated
02/02/2024
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