Provider Demographics
NPI:1215974787
Name:MARTIN, STEVEN NORMAN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:NORMAN
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3517 SW WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:JOSHUA
Mailing Address - State:TX
Mailing Address - Zip Code:76058-6159
Mailing Address - Country:US
Mailing Address - Phone:817-447-1151
Mailing Address - Fax:817-529-8927
Practice Address - Street 1:805 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-3816
Practice Address - Country:US
Practice Address - Phone:817-202-3976
Practice Address - Fax:817-202-3978
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2023-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE1040207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139470218Medicaid
TX2L2927OtherTRADITIONAL MEDICARE
TX139470218Medicaid