Individual
DAVID C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,P.A.
Contact information
Practice address
619 S FLEISHEL AVE STE 201, TYLER, TX 75701-2004
(903) 606-5777
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
052410
GA
207Q00000X
Family Medicine Physician
Primary
K9119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031355302
—
TX
05
—
031355303
—
TX
05
—
460041120A
—
GA
01
—
75-2616977-007
TRICARE
TX
01
—
75-2616977-108
TRICARE
TX
01
—
752616977118
TRICARE
TX
01
—
8DB081
BCBS
TX
01
—
8DC095
BCBS
TX
Enumeration date
08/22/2006
Last updated
02/17/2026
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