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Mrs. Dianna C Martin, PHYSICIANASSISTANT
Surgical Physician Assistant in Round Rock, Texas
NPI 1922115005

Dianna C Martin is a Surgical Physician Assistant based in Dallas, TX and is specialized in Surgical. Dianna C Martin practices in Round Rock, TX and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Dianna C Martin is 1922115005 and holds a License No. PA10339 (Texas).

The current practice location address for Dianna C Martin is 302 University Blvd, Round Rock, TX and can be reached out via phone at 512-509-0200. You can also correspond with Dianna C Martin through the mailing address at PO BOX 844658, DALLAS, TX - 75284-4658 (mailing address contact number: 254-724-2111).

Location: 302 University Blvd, Round Rock, TX, 75284-4658
person
Provider Profile Details
NPI Number
1922115005
Provider Name
Dianna C Martin
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
302 University Blvd, Round Rock, TX, 75284-4658
Phone Number
512-509-0200
Fax Number
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
017RP 01 BLUE CROSS
8931917 05 NC
institution
Provider Business Practice Location Address Details
Address
302 University Blvd
City
State
Zip
78665-1032
Phone Number
512-509-0200
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 844658
City
State
Zip
75284-4658
Phone Number
254-724-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA10339 (Texas)
Definition
Definition to come...
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