Individual
FE M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 9TH AVE, SUITE 102, PORT ARTHUR, TX 77642-2701
(409) 983-7711
(409) 985-5233
Mailing address
2001 9TH AVE, SUITE 102, PORT ARTHUR, TX 77642-2701
(409) 983-7711
(409) 985-5233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F5294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14124
CHIPS
TX
01
—
2097088001
CINGA
TX
01
—
4458234
AETNA
TX
01
—
OOTK09
BLUECROSSBLUESHIELD
TX
Enumeration date
11/30/2006
Last updated
07/09/2007
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