Organization
GORDON H MARTIN MD PA
Active
Other names
GORDON H MARTIN MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON H MARTIN MD (PRESIDENT)
(281) 332-3142
Entity
Organization
Contact information
Practice address
333 N TEXAS AVE, STE 4200, WEBSTER, TX 77598-4966
(281) 332-3142
(281) 332-7568
Mailing address
333 N TEXAS AVE, STE 4200, WEBSTER, TX 77598-4966
(281) 332-3142
(281) 332-7568
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J5107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041NZ
BCBS
TX
05
—
197308302
—
TX
01
—
DE8937
RAILROAD MEDICARE
TX
Enumeration date
07/07/2006
Last updated
01/14/2009
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