Martin, Douglas

Martin, Douglas is an individual health care provider with primary practice located at 302 University Blvd , Round Rock TX 78665-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Martin, Douglas can be contacted via phone (512) 509-0200.

Contact Information

Primary practice address
302 University Blvd Round Rock TX 78665-1032
Fax: (512) 509-0253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X F6908 Texas

Profile Details

NPI number 1225031305
LBN Legal business name Martin, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Feb 7th, 2013 - about 11 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 1225031305 NPPES
Texas MEDICAID 158351001

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