Individual
MR. BILL CLYDE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
706 EUREKA ST, WEATHERFORD, TX 76086
(817) 599-7397
(817) 596-8889
Mailing address
706 EUREKA ST, WEATHERFORD, TX 76086
(817) 599-7397
(817) 596-8889
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D4213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095001
—
TX
01
—
4353429
AETNA
—
Enumeration date
07/20/2006
Last updated
07/08/2007
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