Individual
DR. SAMUEL GENE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5310 E 31ST ST FL 11 STE 1102, TULSA, OK 74135-5018
(918) 561-1700
(918) 561-1701
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
25859
OK
2084P0800X
Psychiatry Physician
Primary
25859
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200203640A
—
OK
01
—
440062YM2Y
MEDICARE
OK
Enumeration date
06/28/2007
Last updated
02/20/2025
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