Cr Martin M D P A
LBN: Cr Martin M D P A
Cr Martin M D P A is an health care organization with primary practice located at 703 E Marshall Ave Suite 3008, Longview TX 75601-5500. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Cr Martin M D P A can be contacted via phone (903) 315-2740, or through Martin, Charles R. via phone (903) 315-2740.
Contact Information
Primary practice address
703 E Marshall Ave Suite 3008
Longview TX 75601-5500
Phone: (903) 315-2740
Fax: (903) 315-2742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | H5255 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | H5255 | Texas |
Profile Details
| NPI number | 1699085563 |
|---|---|
| LBN Legal business name | Cr Martin M D P A |
| DBA Doing business as | |
| Authorized official | Martin, Charles R. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2010 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699085563 | NPPES |
| Texas | MEDICAID | 116457601 | |
| Texas | Other | E0101110 |
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