Persons, C Martin

Persons, C Martin is an sole proprietor health care provider with primary practice located at 4625 Boat Club Rd Suite 253, Fort Worth TX 76135-7022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Persons, C Martin can be contacted via phone (817) 399-1622.

Contact Information

Primary practice address
4625 Boat Club Rd Suite 253 Fort Worth TX 76135-7022
Phone: (817) 399-1622
Fax: (817) 540-0759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X F4368 Texas

Profile Details

NPI number 1184626533
LBN Legal business name Persons, C Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Oct 11th, 2013 - about 13 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 1184626533 NPPES
Texas Other MDF4368 WORKERS COMP
Texas Other 4080053 WORKERS COMP
Texas MEDICAID 114261403 WORKERS COMP

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