John Edwin Martin in Dallas - Internal Medicine

John Edwin Martin - NPI 1417987264

John Edwin Martin is a Internal Medicine in Dallas, Texas. John Edwin Martin practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Edwin Martin is 1417987264. The last update date is 2013-12-18.

John Edwin Martin's current location address is 1906 Peabody Ave, Dallas, Texas. You can contact this provider via phone number 2144217848 and fax number 2144211119. The mailing address for John Edwin Martin is 1906 Peabody Ave, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edwin Martin
Address 1906 Peabody Ave, Dallas, Texas
Phone Number 2144217848
Fax Number 2144211119
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1417987264
Provider Enumeration Date 2006-07-04
Last Updated Date 2013-12-18

Provider Mailing Address Detail

Address 1906 Peabody Ave
City Dallas
State Texas (TX)
Post Code 752152821
Phone Number 2144217848
Fax Number 2144211119

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No H0604
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1172900 TX --

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FAQs about John Edwin Martin

What is the unique 10-digit identifier code assigned to John Edwin Martin by the Centers for Medicare & Medicaid Services?

The John Edwin Martin has been issued the NPI (National Provider Identifier) 1417987264 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the John Edwin Martin's physical address?

The John Edwin Martin is physically located at 1906 Peabody Ave, in the city of Dallas, TX, with the postal code 752152821.

What is John Edwin Martin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Edwin Martin is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the John Edwin Martin receive its 1417987264 assignment from the Centers for Medicare & Medicaid Services?

The John Edwin Martin was assigned its 1417987264 by the Centers for Medicare & Medicaid Services on 2006-07-04.

As of what date were the details pertaining to John Edwin Martin last refreshed?

The information related to the John Edwin Martin, including its address, specialty, and other relevant details, was last updated on 2013-12-18.

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