| Harvey C Martin Md Pa | |
|
1808 Rose St Wichita Falls TX 76301-4219 | |
| (940) 723-4488 | |
| (940) 723-0446 |
| Full Name | Harvey C Martin Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1808 Rose St, Wichita Falls, Texas |
| Authorized Official Name and Position | Harvey C Martin (OWNER) |
| Authorized Official Contact | 9407234488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey C Martin Md Pa 1808 Rose St Wichita Falls TX 76301-4219 Ph: (940) 723-4488 | Harvey C Martin Md Pa 1808 Rose St Wichita Falls TX 76301-4219 Ph: (940) 723-4488 |
| NPI Number | 1902105935 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 10/09/2012 |
| Medicare PECOS PAC ID | 3870776222 |
|---|---|
| Medicare Enrollment ID | O20110323000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902105935 | NPI | - | NPPES |
| 100752480A | Medicaid | OK | |
| 283101801 | Medicaid | TX | |
| 8DC909 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | F2789 (Texas) | Primary |
| Provider Name | Harvey C Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326047556 PECOS PAC ID: 9234222084 Enrollment ID: I20110323000498 |
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