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Theresa A Martin (MD)

Dr. Theresa A Martin (MD) is a health care provider specializes in Obstetrics & Gynecology. She is associated with medical group practice DIAGNOSTIC CLINIC OF LONGVIEW and is affiliated with 2 hospitals as shown below.

profile-icon Basic Information

Practice Location 802 Medical Dr, Suite 100, Longview, TX 75605-5100, US
Practice Location Phone903-757-6042
Practice Location Fax903-291-6038
GenderFemale
Specialty InObstetrics & Gynecology
Medical SchoolUniversity Of Texas Medical Branch At Galveston
Graduation Year1993
NPI ?1255308508
PECOS ID3173577137
Enrollment IDI20050311000695
Entity TypeIndividual
Enumeration Date ? Mar 7, 2006
Last Update Date ? May 15, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Theresa A Martin

SpecialtySpecializationLicenseLicense State
Obstetrics & Gynecology J6565Texas

Medicare-icon Medicare Participation of Theresa A Martin

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Theresa A Martin

Medical Group PracticeDiagnostic Clinic Of Longview
Affiliation 1 Longview Regional Medical Center
Affiliation 2 Good Shepherd Medical Center

legacy-id-icon Legacy Provider IDs of Theresa A Martin

Provider IdIssuer StateIssuer TypeIssuer
105981808TexasMedicaid