Martin, Randall Val
Martin, Randall Val is an individual health care provider with primary practice located at 18059 Highway 105 W Ste 130 , Montgomery TX 77356-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Randall Val can be contacted via phone (936) 582-5642.Contact Information
Primary practice address
18059 Highway 105 W Ste 130
Montgomery TX 77356-5000
Phone: (936) 582-5642
Fax: (936) 582-5643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E6494 | Texas |
Profile Details
| NPI number | 1942397849 |
|---|---|
| LBN Legal business name | Martin, Randall Val |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | May 15th, 2017 - about 7 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 | 1942397849 | NPPES |
| Texas | MEDICAID | 125772703 |
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