Provider Demographics
NPI:1922160902
Name:DANNENBAUM, MARTHA CAROLYN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:CAROLYN
Last Name:DANNENBAUM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:A P BEUTEL HEALTH CTR
Mailing Address - Street 2:TAMU 1264
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77843-1264
Mailing Address - Country:US
Mailing Address - Phone:979-458-8300
Mailing Address - Fax:979-458-8314
Practice Address - Street 1:A P BEUTEL HEALTH CTR
Practice Address - Street 2:TAMU 1264
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77843-1264
Practice Address - Country:US
Practice Address - Phone:979-458-8300
Practice Address - Fax:979-458-8314
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2010-01-13
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Provider Licenses
StateLicense IDTaxonomies
TXH4265207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology