Stuart A Martin

NPI #1629664065 in Desdemona, Texas

Provider Information

NPI Number: 1629664065
Entity Type: Individual
Name: Stuart A Martin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 20, 2020
Last Updated: Feb 12, 2021

Practice Location

Address: 309 COUNTY ROAD 504
City: Desdemona
State: Texas
ZIP Code: 76445-1609
Phone: (210) 907-3310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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