MEDICARE: ACO JASON MARTIN MEDICAL CONSULTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1881578961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACO JASON MARTIN MEDICAL CONSULTING

Provider Business Mailing Address
First Line	:	PO BOX 733124
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-3124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 BELLA COLINAS DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-7631
Country	:	US
Telephone Number	:	512-234-4685
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASON MARTIN
Credential	:	MD
Telephone Number	:	512-234-4685

Provider Enumeration Date	:	08/02/2025
Last Update Date	:	08/04/2025

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