Provider Demographics
NPI:1013998384
Name:MARTIN, EARL FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:FRANCIS
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 1:710 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-0044
Mailing Address - Country:US
Mailing Address - Phone:281-290-7744
Mailing Address - Fax:
Practice Address - Street 1:710 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6455
Practice Address - Country:US
Practice Address - Phone:281-351-7155
Practice Address - Fax:281-290-9579
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0259207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A8721Medicare ID - Type Unspecified
TXC18857Medicare UPIN