Organization
AUSTIN INTERNAL MEDICINE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM MARTENS DO (PRESIDENT)
(512) 441-8666
Entity
Organization
Contact information
Practice address
1701 W BEN WHITE BLVD, SUITE 140, AUSTIN, TX 78704-7667
(512) 441-8666
(512) 441-8698
Mailing address
1701 W BEN WHITE BLVD, SUITE 140, AUSTIN, TX 78704-7667
(512) 441-8666
(512) 441-8698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E6239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90QC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/24/2007
Last updated
04/30/2008
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