Provider Demographics
NPI:1689831828
Name:MARTIN, HOWARD JAMES II (BSW)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:JAMES
Last Name:MARTIN
Suffix:II
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8625 KING GEORGE DR STE 111
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-2240
Mailing Address - Country:US
Mailing Address - Phone:214-631-7002
Mailing Address - Fax:214-631-6698
Practice Address - Street 1:8625 KING GEORGE DR
Practice Address - Street 2:STE.111
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-2215
Practice Address - Country:US
Practice Address - Phone:214-631-7002
Practice Address - Fax:214-631-6698
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor