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CR MARTIN M D P A NPI 1699085563


NPI Information

NPI: 1699085563
Provider Name: CR MARTIN M D P A
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
703 E MARSHALL AVE
SUITE 3008
LONGVIEW, TX
ZIP 75601
Phone: (903) 315-2740
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CR MARTIN M D P A is a pulmonary disease internal medicine in Longview, TX. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. CR MARTIN M D P A NPI is 1699085563. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

703 E MARSHALL AVE
SUITE 3008
LONGVIEW, TX
ZIP 75601-500
Phone: (903) 315-2740
Fax: (903) 315-2742

The provider's authorized official is Charles R. Martin .
The authorized official title is President and has the following contact phone number (903) 315-2740.

The enumeration date for this NPI number is 10/13/2010 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineH5255TEXASNo
2207RP1001XInternal MedicinePulmonary DiseaseH5255TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1116457601MEDICAIDTEXAS
2E0101110OTHERTEXASDPS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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