Organization
HARVEY C MARTIN MD PA
Active
Organization
HARVEY C MARTIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY C MARTIN MD (OWNER)
(940) 723-4488
Entity
Organization
Contact information
Practice address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-0446
Mailing address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-0446
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F2789
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100752480A
—
OK
05
—
283101801
—
TX
01
—
8DC909
BCBS
TX
Enumeration date
03/16/2011
Last updated
10/09/2012
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