Dr Theresa A Martin, MD | |
802 Medical Dr Ste 200, Longview, TX 75605-5201 | |
(903) 232-8297 | |
(903) 553-7751 |
Full Name | Dr Theresa A Martin |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 802 Medical Dr Ste 200, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255308508 | NPI | - | NPPES |
105981808 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | J6565 (Texas) | Primary |
Entity Name | Longview Wellness Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
Mailing Address | Practice Location Address |
---|---|
Dr Theresa A Martin, MD Po Box 19036, Belfast, ME 04915-4085 Ph: (903) 381-7263 | Dr Theresa A Martin, MD 802 Medical Dr Ste 200, Longview, TX 75605-5201 Ph: (903) 232-8297 |
Dr. Edward E Jacobson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-758-0731 Fax: 903-758-1369 | |
Dr. Janet L. Kelley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-753-7658 Fax: 903-236-0385 | |
Dr. Francis J Tibiletti, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr Ste 202, Longview, TX 75605 Phone: 903-315-2744 Fax: 903-234-1339 | |
Dr. Julia B Van Burkleo, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-753-7658 Fax: 903-236-0385 | |
Teresa Wood, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-1970 Fax: 903-315-1977 | |
Vanessa Renee Neiman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave Ste 3000, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 |