Individual
MR. CHARLES R MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 E MARSHALL AVE, STE 3008, LONGVIEW, TX 75601-5500
(903) 315-2740
(903) 315-2742
Mailing address
703 E MARSHALL AVE, STE 3008, LONGVIEW, TX 75601-5500
(903) 315-2740
(903) 315-2742
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
H5255
TX
Other
Enumeration date
12/29/2005
Last updated
12/30/2011
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