Individual provider · Type 1 NPI
Stuart A. Martin
Student in an Organized Health Care Education/Training Program · Desdemona, TX
NPI number
1629664065
Active
Practice location
309 County Road 504
Desdemona, TX 76445-1609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1629664065
Stuart A. Martin's National Provider Identifier is 1629664065, issued on Dec 20, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Desdemona, TX. The record was last updated on Feb 12, 2021.