Martin, Reg C

Martin, Reg C is an individual health care provider with primary practice located at 1501 S Coulter St , Amarillo TX 79106-1770. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Martin, Reg C can be contacted via phone (806) 354-1000.

Contact Information

Primary practice address
1501 S Coulter St Amarillo TX 79106-1770
Phone: (806) 354-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X L4053 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X L4053 Texas

Profile Details

NPI number 1336120740
LBN Legal business name Martin, Reg C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jun 29th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336120740 NPPES
Texas MEDICAID 152727701
Texas Other 8F8292

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