Individual
CONNOR MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
5151 HWY 121, THE COLONY, TX 75056-2601
(214) 488-5437
(214) 488-5438
Mailing address
11721 MARION RD, SANGER, TX 76266-3288
(940) 536-8165
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1136682
TX
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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