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NPI Code Detail

MEDICARE: NELSON W MARTIN MD

MEDICARE: NELSON W MARTIN MD
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
1207L00000XAnesthesiology PhysicianJ9521TX
2207LP3000XPediatric Anesthesiology PhysicianJ9521TX

General Provider Information

NPI Number : 1871527481
Entity Type Code : Individual
Provider Name (Legal Business Name) : NELSON W MARTIN MD
Provider Business Mailing Address
First Line : PO BOX 733784
Second Line :
City : DALLAS
State : TX
Zip : 75373-3784
Country : US
Telephone Number : 682-885-1855
Fax Number : 682-885-1396
Provider Business Practice Location Address
First Line : 801 7TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2733
Country : US
Telephone Number : 682-885-4054
Fax Number : 682-885-7497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 03/17/2026

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Directions to “ NELSON W MARTIN MD” Practice Location

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