Individual
CHRISTOPHER MICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-8930
Mailing address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-8930
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00000000
TX
363A00000X
Physician Assistant
Primary
PA07499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304771403
—
TX
05
—
304771404
—
TX
Enumeration date
11/01/2011
Last updated
10/22/2013
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