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NPI Code Detail

MEDICARE: BRIAN N. MARTIN

MEDICARE: BRIAN N. MARTIN
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
1237700000XHearing Instrument Specialist80759TX

General Provider Information

NPI Number : 1477172773
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN N. MARTIN
Provider Business Mailing Address
First Line : 2703 W CUTHBERT AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-3819
Country : US
Telephone Number : 432-689-2220
Fax Number : 432-689-2273
Provider Business Practice Location Address
First Line : 2703 W CUTHBERT AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-3819
Country : US
Telephone Number : 432-689-2220
Fax Number : 432-689-2273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2020
Last Update Date : 04/16/2020

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Directions to “ BRIAN N. MARTIN ” Practice Location

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