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BRUCE D MARTIN MD PA NPI 1881820595


NPI Information

NPI: 1881820595
Provider Name: BRUCE D MARTIN MD PA

Doing Business As: ALLIANCE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2178456

Address:
12461 TIMBERLAND BLVD STE 309
FORT WORTH, TX
ZIP 76244
Phone: (817) 741-5437
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BRUCE D MARTIN MD PA is a pediatrics in Fort Worth, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BRUCE D MARTIN MD PA NPI is 1881820595. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alliance Pediatrics.

The provider's business location address is:

12461 TIMBERLAND BLVD STE 309
FORT WORTH, TX
ZIP 76244-212
Phone: (817) 741-5437
Fax: (888) 400-5412

The provider's authorized official is Bruce David John Martin .
The authorized official title is Physician/owner and has the following contact phone number (817) 741-5437.

The CLIA number assigned to this NPI record is 45D2178456 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2009 and was last updated on 1/29/2015.


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
1208000000XPediatricsL8824TEXASYes

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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