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1598706780

NPI Code Detail

MEDICARE: DR. MARTIN GILBERT POMPER M.D., PH.D

MEDICARE: DR. MARTIN GILBERT POMPER M.D., PH.D

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	207U00000X	Nuclear Medicine Physician	V5588	TX
2	2085R0202X	Diagnostic Radiology Physician	V5588	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	KA80	OTHER	MH	B/C B/S
3	J062	OTHER	MD	B/C B/S
4	2849	OTHER	DC	B/C B/S

General Provider Information

NPI Number	:	1598706780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN GILBERT POMPER M.D., PH.D

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-8896
Country	:	US
Telephone Number	:	469-291-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-5202
Country	:	US
Telephone Number	:	214-648-7729
Fax Number	:

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	11/19/2025

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Directions to “ DR. MARTIN GILBERT POMPER M.D., PH.D” Practice Location

Language	Start Address	Practice Location

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