Koonsman, Martin Leroy

Koonsman, Martin Leroy is an individual health care provider with primary practice located at 221 W Colorado Blvd Pav Ii, Suite 532, Dallas TX 75208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Koonsman, Martin Leroy can be contacted via phone (214) 943-8605.

Contact Information

Primary practice address
221 W Colorado Blvd Pav Ii, Suite 532 Dallas TX 75208
Phone: (214) 943-8605
Fax: (214) 946-8339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H6352 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X H6352 Texas

Profile Details

NPI number 1992746580
LBN Legal business name Koonsman, Martin Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 11th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992746580 NPPES
Texas Other P01100125 RAILROAD MEDICARE
Texas MEDICAID 097588001 RAILROAD MEDICARE
Texas Other 020027451 RAILROAD MEDICARE
Texas MEDICAID 097588003 RAILROAD MEDICARE

Popular Providers