Individual
DR. CLEM C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2110 N CENTER ST STE A, BONHAM, TX 75418-2628
(903) 583-7574
(903) 640-2067
Mailing address
2110 N CENTER ST STE A, BONHAM, TX 75418-2628
(903) 583-7574
(903) 640-2067
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
DC2052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068EV
BCBS
TX
01
—
8114624
BLUE LIKE NUMBER
TX
01
—
8A4830
BCBS NUMBER
TX
01
—
P00967449
MEDICARE RAILROAD CARRIER
TX
Enumeration date
06/15/2006
Last updated
11/02/2011
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