Provider Demographics
NPI:1851736243
Name:JASON MARTIN MEDICAL CONSULTING LLC
Entity Type:Organization
Organization Name:JASON MARTIN MEDICAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-797-7777
Mailing Address - Street 1:4495 WANDERING VINE TRL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1266
Mailing Address - Country:US
Mailing Address - Phone:832-797-7777
Mailing Address - Fax:512-535-0322
Practice Address - Street 1:208 BELLA COLINAS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-7631
Practice Address - Country:US
Practice Address - Phone:832-797-7777
Practice Address - Fax:512-535-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty