Individual
DR. MARTIN M.V. AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 590-5582
(214) 590-1825
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 590-5582
(214) 590-1825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Q15464
TX
208600000X
Surgery Physician
T3530
MD
2086X0206X
Surgical Oncology Physician
Primary
Q1564
TX
Other
Enumeration date
01/26/2007
Last updated
09/07/2017
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