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Individual

CATHERINE M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6300 RIDGLEA PL, SUITE 201, FORT WORTH, TX 76116-5704
(817) 451-4208
(817) 563-3699
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(903) 454-3025
(903) 450-1408

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP111111
TX

Other

Enumeration date
11/10/2015
Last updated
08/29/2018
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