| R. Mark Martin, Md Pa | |
|
2506 Crockett Dr Brownwood TX 76801-5900 | |
| (325) 643-3656 | |
| (325) 646-8484 |
| Full Name | R. Mark Martin, Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2506 Crockett Dr, Brownwood, Texas |
| Authorized Official Name and Position | Ray Martin (OWNER) |
| Authorized Official Contact | 3256433656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Mark Martin, Md Pa 2506 Crockett Dr Brownwood TX 76801-5900 Ph: (325) 643-3656 | R. Mark Martin, Md Pa 2506 Crockett Dr Brownwood TX 76801-5900 Ph: (325) 643-3656 |
| NPI Number | 1447572599 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 02/17/2010 |
| Medicare PECOS PAC ID | 0941324586 |
|---|---|
| Medicare Enrollment ID | O20100902000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447572599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | F4248 (Texas) | Primary |
| Provider Name | Ray M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831197300 PECOS PAC ID: 1658495296 Enrollment ID: I20100902000845 |
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