Individual
DR. ANTONIO EDUARDO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11801 S. FREEWAY, HUGULEY MEMORIAL HOSPITAL, FORT WORTH, TX 76115
(817) 551-2743
Mailing address
8092 WINNERS CIR, MANDEVILLE, LA 70448-7513
(504) 275-9555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K9346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910682
—
AL
05
—
1153826
—
LA
01
—
P00406138
RAILROAD MEDICARE
GA
Enumeration date
04/18/2006
Last updated
01/21/2020
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