Dr Jerry Darrel Martin, MD | |
129 Medical Park Lane, Huntsville, TX 77340 | |
(936) 291-3459 | |
(936) 294-0027 |
Full Name | Dr Jerry Darrel Martin |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 129 Medical Park Lane, Huntsville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730142472 | NPI | - | NPPES |
20044235 | Other | TX | MCRR |
114477604 | Medicaid | TX | |
00252T | Other | TX | BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MDF1778 (Texas) | Primary |
Entity Name | Surgical Specialists Of Conroe, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689062135 PECOS PAC ID: 3577880210 Enrollment ID: O20150318000497 |
Mailing Address | Practice Location Address |
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Dr Jerry Darrel Martin, MD 129 Medical Park Lane, Huntsville, TX 77340 Ph: (936) 291-3459 | Dr Jerry Darrel Martin, MD 129 Medical Park Lane, Huntsville, TX 77340 Ph: (936) 291-3459 |
Dr. Dalton David Heath, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 129 Medical Park Ln, Huntsville, TX 77340 Phone: 936-291-3459 Fax: 936-294-0027 | |
Dr. Jesse Scott Ward, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 129 Medical Park Ln, Huntsville, TX 77340 Phone: 936-291-3459 Fax: 936-294-0027 | |
Mr. John A Tanksley Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 129 Medical Park Ln, Huntsville, TX 77340 Phone: 936-291-3459 Fax: 936-294-0027 |