Individual
DR. DEANDRA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J3350
TX
207RN0300X
Nephrology Physician
Primary
J3350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105844802
—
TX
05
—
105844804
—
TX
Enumeration date
02/23/2006
Last updated
05/21/2014
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