Individual
DR. DIETER ROBERT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 447-2211
Mailing address
7000 N MO PAC EXPY STE 420, AUSTIN, TX 78731-3055
(512) 482-0045
(512) 476-9892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L6106
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
L6106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1608795-01
—
TX
05
—
160879602
—
TX
Enumeration date
06/29/2006
Last updated
03/08/2018
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