Persons, C Martin
Persons, C Martin is an sole proprietor health care provider with primary practice located at 4625 Boat Club Rd Suite 253, Fort Worth TX 76135-7022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Persons, C Martin can be contacted via phone (817) 399-1622.Contact Information
Primary practice address
4625 Boat Club Rd Suite 253
Fort Worth TX 76135-7022
Phone: (817) 399-1622
Fax: (817) 540-0759
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | F4368 | Texas |
Profile Details
NPI number | 1184626533 |
---|---|
LBN Legal business name | Persons, C Martin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 15th, 2005 |
Last updated | Oct 11th, 2013 - about 12 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 | 1184626533 | NPPES |
Texas | Other | MDF4368 | WORKERS COMP |
Texas | Other | 4080053 | WORKERS COMP |
Texas | MEDICAID | 114261403 | WORKERS COMP |
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