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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.

Location: 302 University Blvd, Round Rock, TX, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Round Rock
State
Texas
Zip
78665-1032
Phone Number
512-509-0200
Fax Number
person
Provider Business Mailing Address Details
Address
302 University Blvd
City
Round Rock
State
Texas
Zip
78665-1032
Phone Number
512-509-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA10339 (Texas)
Definition
Definition to come...
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