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General NPI Number Information
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NPI Number | 1518543172
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Entity Type | Organization
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Legal Business Name | THOMAS E MARTENS DO PA
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 11403 OCONNOR RD STE 118
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City | SAN ANTONIO
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State | TX
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Zip | 78233-5391
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Country | US
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Telephone | 210-910-4949
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Fax | 512-870-9770
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Provider Business Mailing Address
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Address Line | 18817 N HEATHERWILDE BLVD STE 150
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-1750
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Country | US
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Telephone | 512-523-4878
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Fax | 512-870-9770
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | DR. THOMAS E MARTENS
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Credential |
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Telephone | 512-523-4878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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