Provider Demographics
NPI:1598908022
Name:MARTIN, PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 BAKERS BRIDGE AVE STE 101
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1788
Mailing Address - Country:US
Mailing Address - Phone:713-505-5079
Mailing Address - Fax:713-505-5079
Practice Address - Street 1:625 BAKERS BRIDGE AVE STE 101
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1788
Practice Address - Country:US
Practice Address - Phone:713-505-5079
Practice Address - Fax:713-505-5079
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48855207P00000X
TXS7493207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine