Individual
MICHAEL C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1228 PRECINCT LINE RD, HURST, TX 76053-4290
(817) 282-5411
(817) 282-5438
Mailing address
1228 PRECINCT LINE RD, HURST, TX 76053-4290
(817) 282-5411
(817) 282-5438
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R9410
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/10/2006
Last updated
07/08/2007
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