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Individual

DR. KORY LANN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 STADIUM DR, SEYMOUR HOSPITAL, SEYMOUR, TX 76380-2344
(940) 889-5572
Mailing address
1600 SCRIPTURE ST, DENTON, TX 76201-3809
(940) 889-5572

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M6747
TX
207Q00000X
Family Medicine Physician
M6747
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0027RR
BCBS
TX
05
198479101
TX
Enumeration date
04/09/2008
Last updated
01/12/2016
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