Provider Demographics
NPI:1487734836
Name:MARTIN MARTIN & ASSOCIATES PA
Entity type:Organization
Organization Name:MARTIN MARTIN & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:CROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-985-3207
Mailing Address - Street 1:2001 9TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-2704
Mailing Address - Country:US
Mailing Address - Phone:409-985-3207
Mailing Address - Fax:409-985-5233
Practice Address - Street 1:2001 9TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-2704
Practice Address - Country:US
Practice Address - Phone:409-985-3207
Practice Address - Fax:409-985-5233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty