Individual
DR. MARTIN LEROY KOONSMAN JR.
Active
Individual
DR. MARTIN LEROY KOONSMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H6352
TX
2086X0206X
Surgical Oncology Physician
Primary
H6352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020027451
RR-MEDICARE
TX
05
—
097588001
—
TX
05
—
097588003
—
TX
01
—
P01100125
RAILROAD MEDICARE
TX
Enumeration date
06/08/2006
Last updated
04/11/2023
Update your record
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