Organization
DR TIM MARTIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MARTIN MD (PHYSICIAN)
(325) 232-8675
Entity
Organization
Contact information
Practice address
2110 N WILLIS ST STE B, ABILENE, TX 79603-4359
(325) 232-8675
(325) 899-3418
Mailing address
2110 N WILLIS ST STE B, ABILENE, TX 79603-4359
(325) 232-8675
(325) 899-3418
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
K2958
TX
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136547008
—
TX
01
—
WO103239
DPS
TX
Enumeration date
09/24/2015
Last updated
03/07/2023
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