| NPI | 1417081316 |
|---|---|
| Professional Name | BRENT C. MARTIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05182) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0003074) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-02-11 |