Individual
DR. ROBERT TATE MARTIN
Active
Individual
DR. ROBERT TATE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
L#021109
LA
207RC0000X
Cardiovascular Disease Physician
Primary
MD.021109
LA
207RI0011X
Interventional Cardiology Physician
L#021109
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057726401
—
TX
01
—
060053256
RAILROAD MEDICARE
LA
05
—
1017159
—
LA
05
—
132212001
—
AR
Enumeration date
10/25/2005
Last updated
07/08/2021
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