Provider Demographics
NPI:1679895601
Name:MARTIN S.POSNER MD ASSOCIATED
Entity Type:Organization
Organization Name:MARTIN S.POSNER MD ASSOCIATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:POSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-369-9236
Mailing Address - Street 1:8330 MEADOW RD
Mailing Address - Street 2:#124
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3767
Mailing Address - Country:US
Mailing Address - Phone:214-369-9236
Mailing Address - Fax:214-373-1762
Practice Address - Street 1:8330 MEADOW RD
Practice Address - Street 2:#124
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3767
Practice Address - Country:US
Practice Address - Phone:214-369-9236
Practice Address - Fax:214-373-1762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4837102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1962445379OtherNPI
TX00J840Medicare UPIN