Mailman, Gary Martin

Mailman, Gary Martin is an individual health care provider with primary practice located at 4316 James Casey St Suite B 100, Austin TX 78745-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Mailman, Gary Martin can be contacted via phone (512) 306-1903.

Contact Information

Primary practice address
4316 James Casey St Suite B 100 Austin TX 78745-1116
Phone: (512) 306-1903
Fax: (512) 551-9295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X J9186 Texas

Profile Details

NPI number 1205822558
LBN Legal business name Mailman, Gary Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Apr 28th, 2015 - about 10 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 1205822558 NPPES
Texas Other 10015657 AMERIGROUP
Texas Other 87Y621 AMERIGROUP
Texas MEDICAID 118009002 AMERIGROUP

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