WAYNE MARTIN, INC.
Managed Care Organizations at Wall St, Midland, TX

License number
Texas MT028169
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MR. WAYNE MARTIN LMT
Title: LMT, CNMT, LDT
Phone: (432) 638-4643
Address
Address
2301 W Wall St, Midland, TX 79701
National Provider ID: 1144410895
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WAYNE MARTIN, INC

3103 Barkley Ave, Midland, TX 79701

Doing business as:
Wayne Martin, Inc
Registration:
Mar 27, 2006
State ID:
0800632844
Business type:
Domestic For-Profit Corporation
DIRECTOR, Directors:
Laura Martin (DIRECTOR, Director), 3103 Barkley, Midland, TX 79701,Wayne Martin (DIRECTOR, Director), 3103 Barkley, Midland, TX 79701
TIN:
32019441313

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