Martin, Thalia Marie
Martin, Thalia Marie is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Martin, Thalia Marie can be contacted via phone (903) 513-4500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | L9798 | Texas |
Profile Details
| NPI number | 1215976501 |
|---|---|
| LBN Legal business name | Martin, Thalia Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Mar 24th, 2009 - about 17 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 | 1215976501 | NPPES |
| Texas | MEDICAID | 170478502 | |
| Texas | Other | 8V4510 | |
| Texas | Other | TIN PLUS 042 |
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