Organization
DANN MARTIN O.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANN CRAIG MARTIN O.D., P.A. (OWNER PROFESSIONAL ASSOCIATION)
(817) 467-2020
Entity
Organization
Contact information
Practice address
5520 S COOPER ST, SUITE 110, ARLINGTON, TX 76017-4404
(817) 467-2020
(817) 375-8210
Mailing address
5520 S COOPER ST, SUITE 110, ARLINGTON, TX 76017-4404
(817) 467-2020
(817) 375-8210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04835TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00281U
MEDICARE PTAN
TX
Enumeration date
05/01/2007
Last updated
08/25/2015
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