Provider Demographics
NPI:1730229592
Name:MARTIN-ERNST, LINDA R (DO)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:R
Last Name:MARTIN-ERNST
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:321 E SPRING ST STE 121
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-2900
Mailing Address - Country:US
Mailing Address - Phone:903-723-2325
Mailing Address - Fax:903-723-2383
Practice Address - Street 1:321 E SPRING ST STE 121
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-2900
Practice Address - Country:US
Practice Address - Phone:903-723-2325
Practice Address - Fax:903-723-2383
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF5296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD97516Medicare UPIN