Bruce D Martin MD PA

NPI #1881820595 in Fort Worth, Texas

Provider Information

NPI Number: 1881820595
Entity Type: Organization
Organization Name: Bruce D Martin MD PA
Primary Specialty: Pediatrics
Enumeration Date: Jun 9, 2009
Last Updated: Jan 29, 2015

Practice Location

Address: 12461 TIMBERLAND BLVD STE 309
City: Fort Worth
State: Texas
ZIP Code: 76244-5212
Phone: (817) 741-5437

Authorized Official

Name: DR. BRUCE DAVID JOHN MARTIN, M.D.
Title: PHYSICIAN/OWNER
Phone: (817) 741-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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