Individual
ABIGAIL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 AIRPORT RD, SULPHUR SPRINGS, TX 75482-2105
(903) 885-7671
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP128068
TX
363L00000X
Nurse Practitioner
CNP-03179
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349884201
—
TX
05
—
3498842022
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
8422NS
BCBS
TX
01
—
8535NR
BCBS
TX
01
—
8536NR
BCBS
TX
01
—
8821NS
BCBS
TX
01
—
P01536083
RAIL ROAD
TX
01
—
P01536084
RAIL ROAD
TX
01
—
P01536090
RAIL ROAD
TX
Enumeration date
08/18/2015
Last updated
09/19/2024
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