Individual
DR. KENT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(305) 480-6602
Mailing address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(305) 480-6602
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S0330
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568817039
—
TX
01
—
S0330
STATE LICENSE
TX
Enumeration date
05/03/2016
Last updated
09/03/2019
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