MEDICARE: DR. HAL DAVID MARTIN DO

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	207X00000X	Orthopaedic Surgery Physician	2934	OK
2	207X00000X	Orthopaedic Surgery Physician	P2144	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	OON85X	OTHER	TX	MEDICARE GROUP
3	P00040307	OTHER	OK	RAILROAD MEDICARE
5	P01127057	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1760488936	OTHER	TX	GROUP NPI
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417929563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAL DAVID MARTIN DO

Provider Business Mailing Address
First Line	:	3900 JUNIUS ST STE 500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1621
Country	:	US
Telephone Number	:	214-820-9520
Fax Number	:	214-820-9516

Provider Business Practice Location Address
First Line	:	411 N WASHINGTON AVE
Second Line	:	SUITE 7300
City	:	DALLAS
State	:	TX
Zip	:	75246-1713
Country	:	US
Telephone Number	:	214-820-9520
Fax Number	:	214-820-9516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	05/19/2022

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Directions to “ DR. HAL DAVID MARTIN DO” Practice Location

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