Martin, Justin L
Martin, Justin L is an individual health care provider with primary practice located at 1300 W Terrell Ave Ste 500 , Ft Worth TX 76104-2810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Martin, Justin L can be contacted via phone (817) 252-5000.Contact Information
Primary practice address
1300 W Terrell Ave Ste 500
Ft Worth TX 76104-2810
Phone: (817) 252-5000
Fax: (817) 252-5060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L2446 | Texas |
Profile Details
NPI number | 1184624306 |
---|---|
LBN Legal business name | Martin, Justin L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | Sep 15th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184624306 | NPPES |
Texas | MEDICAID | 174150604 | |
Texas | MEDICAID | 174150603 |
Popular Providers
-
Malik, Amir Zulfikar
1017 12Th Ave , Fort Worth TX 76104-3915 -
Akhtar, Nasim
1017 12Th Ave , Fort Worth TX 76104-3915 -
Hadden, Timothy B
600 S Main St , Ft Worth TX 76104-2410 -
Kalaria, Vijay G.
1900 Mistletoe Blvd Suite 100, Fort Worth TX 76104-4014 -
Willard, John Edward
1300 W Terrell Ave Ste 500 , Fort Worth TX 76104-2810 -
Lobstein, Henry P
1017 12Th Ave , Fort Worth TX 76104-3915 -
Khammar, George Souhel
1017 12Th Ave , Fort Worth TX 76104-3915 -
Slife, David M
1500 S Main St , Fort Worth TX 76104-4917