Mailman, Gary Martin
Mailman, Gary Martin is an individual health care provider with primary practice located at 4316 James Casey St Suite B 100, Austin TX 78745-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Mailman, Gary Martin can be contacted via phone (512) 306-1903.Contact Information
Primary practice address
4316 James Casey St Suite B 100
Austin TX 78745-1116
Phone: (512) 306-1903
Fax: (512) 551-9295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | J9186 | Texas |
Profile Details
| NPI number | 1205822558 |
|---|---|
| LBN Legal business name | Mailman, Gary Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Apr 28th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205822558 | NPPES |
| Texas | Other | 10015657 | AMERIGROUP |
| Texas | Other | 87Y621 | AMERIGROUP |
| Texas | MEDICAID | 118009002 | AMERIGROUP |
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