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Individual

GEORGE JOHN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1725 BROWN ST, EL PASO, TX 79902-4726
(915) 590-2225
(915) 590-2229
Mailing address
1725 BROWN ST, EL PASO, TX 79902-4726
(915) 590-2225
(915) 590-2229

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M8814
TX
207T00000X
Neurological Surgery Physician
ME77582
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197232501
TX
05
256756300
FL
Enumeration date
09/16/2005
Last updated
06/27/2017
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