Organization
MICHAEL C. MARTIN D.C. P.A.
Active
Other names
MARTIN CHIROPRACTIC OFFICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C MARTIN D.C. (PRESIDENT)
(817) 282-5411
Entity
Organization
Contact information
Practice address
1228 PRECINCT LINE RD, HURST, TX 76053-4290
(817) 282-5411
(817) 282-5438
Mailing address
1228 PRECINCT LINE RD, HURST, TX 76053-4290
(817) 282-5411
(817) 282-5438
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018MN
BLUE CROSS BLUE SHIELD
TX
01
—
1770594517
NPI (INDIVIDUAL)
TX
01
—
2992
STATE LICENSE
TX
Enumeration date
03/22/2007
Last updated
09/16/2008
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