MEDICARE: MR. BAQI S. MARTIN LCSW

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	1041C0700X	Clinical Social Worker	63977	TX

General Provider Information

NPI Number	:	1487924775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BAQI S. MARTIN LCSW

Provider Business Mailing Address
First Line	:	7820 HANGER CUTOFF RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-9560
Country	:	US
Telephone Number	:	817-259-2597
Fax Number	:	817-977-9507

Provider Business Practice Location Address
First Line	:	7820 HANGER CUTOFF RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-9560
Country	:	US
Telephone Number	:	817-259-2597
Fax Number	:	817-977-9507

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

Provider Enumeration Date	:	01/04/2012
Last Update Date	:	09/25/2023

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