Randall Val Martin, MD | |
18059 Highway 105 W Ste 130, Montgomery, TX 77356-5000 | |
(936) 582-5642 | |
(936) 582-5643 |
Full Name | Randall Val Martin |
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Gender | Male |
Speciality | Family Medicine |
Location | 18059 Highway 105 W Ste 130, Montgomery, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942397849 | NPI | - | NPPES |
125772703 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E6494 (Texas) | Primary |
Entity Name | Baylor St Lukes Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
Entity Name | East Texas Clinical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326596776 PECOS PAC ID: 8224319983 Enrollment ID: O20170111002911 |
Mailing Address | Practice Location Address |
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Randall Val Martin, MD 3251 I 45 N, Ste 100, Conroe, TX 77304-2185 Ph: (936) 582-5642 | Randall Val Martin, MD 18059 Highway 105 W Ste 130, Montgomery, TX 77356-5000 Ph: (936) 582-5642 |
Mrs. Rochelle E Farley, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 18059 Hwy 105 West, Ste 125, Montgomery, TX 77356 Phone: 936-582-6622 Fax: 936-582-5695 | |
Richard Kyle Milian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21300 Eva St Ste 100, Montgomery, TX 77356 Phone: 936-597-8585 | |
Dr. Matthew Shane Simpson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21105 Eva St, Suite 100, Montgomery, TX 77356 Phone: 936-597-8585 | |
Jennifer L Chilek, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19782 Highway 105 W, Suite 111, Montgomery, TX 77356 Phone: 936-582-0220 Fax: 936-582-0222 | |
Dr. Micah D Tomlinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 873b Eva St, Montgomery, TX 77356 Phone: 936-597-5555 Fax: 936-597-5585 | |
Mr. Michael A Kaplan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 18057 Highway 105 W, # 230, Montgomery, TX 77356 Phone: 936-582-5660 Fax: 936-582-5661 | |
Dr. Jeremy Kirk Mcwilliams, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19782 Highway 105 West, Suite 111, Montgomery, TX 77356 Phone: 936-582-0220 Fax: 936-582-0222 |