Provider Demographics
NPI:1225742661
Name:MARTIN DOSSETT CONSUTLING LLC
Entity Type:Organization
Organization Name:MARTIN DOSSETT CONSUTLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-846-1113
Mailing Address - Street 1:4708 W PLANO PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5335
Mailing Address - Country:US
Mailing Address - Phone:972-519-0990
Mailing Address - Fax:
Practice Address - Street 1:4708 W PLANO PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5335
Practice Address - Country:US
Practice Address - Phone:972-519-0990
Practice Address - Fax:972-596-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty