Individual
DR. GERARD L MARTEN-ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 S CLEAR CREEK RD, SUITE 116, KILLEEN, TX 76549-4143
(254) 526-5505
(254) 526-4313
Mailing address
2301 S CLEAR CREEK RD, SUITE 116, KILLEEN, TX 76549-4143
(254) 526-5505
(254) 526-4313
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G6970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110279002
—
TX
Enumeration date
02/06/2006
Last updated
10/15/2007
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