Jack W Martin Oral Surgery
1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000


Jack W Martin is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1790879765. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0143412742. The primary specialty is ORAL SURGERY. The organization is PHYSICIANS REFERRAL SERVICE. The address is 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000. The zip code is 77030.


Jack W Martin · 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000

Nation Provider ID 1790879765
PAC ID by PECOS 0143412742
Professional Enrollment ID I20101013001090
Last Name MARTIN
First Name JACK
Middle Name W
Gender M
Medical School Name UNIVERSITY OF TEXAS, HOUSTON DENTAL BRANCH
Graduation Year 1978
Primary Specialty ORAL SURGERY
Secondary Specialties MAXILLOFACIAL SURGERY
Primary Specialty PHYSICIANS REFERRAL SERVICE
Phone Number 7137945446
Group Practice PAC ID 7911801410
Number of Group Practice Members 1834
Address 1515 HOLCOMBE BLVD HEMOPATHOLOGY
HOUSTON, TX 770304000
Claims Based Hospital Affiliation Claim Control Number (CCN): 450076
Legal Business Name: UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER,THE
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Physicians Referral Service · Medicare Physician

Name Address Specialty
Abenaa Brewster 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 HEMATOLOGY/ONCOLOGY
Gheath Al-atrash 6655 Travis St, Houston, TX 77030-1316 HEMATOLOGY/ONCOLOGY
Neeta Somaiah 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 HEMATOLOGY/ONCOLOGY
Jeffrey Molldrem 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 HEMATOLOGY/ONCOLOGY
Jonathan Curry 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PATHOLOGY
Courtney Robb 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 NURSE PRACTITIONER
Soo-hyun Lee-kim 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 NURSE PRACTITIONER
Ashmitha Srinivasan 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 DIAGNOSTIC RADIOLOGY
Surena Matin 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 UROLOGY
Lindsey Law 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Betty Harris 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 NURSE PRACTITIONER
Van Nguyen 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 NURSE PRACTITIONER
Paula Phillips 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Louise Strong 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 PEDIATRIC MEDICINE
Wei-lien Wang 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PATHOLOGY
Susan Varghese 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 NURSE PRACTITIONER
Nicole Brunelle 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 NURSE PRACTITIONER
Aradhana Venkatesan 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 DIAGNOSTIC RADIOLOGY
Jean Hansen 6655 Travis St, Houston, TX 77030-1316 OBSTETRICS/GYNECOLOGY
Holly Kinahan 6655 Travis St, Houston, TX 77030-1316 NURSE PRACTITIONER

Zip 77030 · Oral Surgery · Medicare Physician

Name Address Specialty
Alexander Won 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 ORAL SURGERY
Richard Cardoso 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 ORAL SURGERY
James Melville 6410 Fannin St, Houston, TX 77030-3005 ORAL SURGERY
Christopher Dauterive 6560 Fannin, Houston, TX 77030-2713 ORAL SURGERY
Jonathan Jundt 6410 Fannin St, Houston, TX 77030-3005 ORAL SURGERY
Adegbenga Otun 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 ORAL SURGERY
Donald Cohen 6560 Fannin, Houston, TX 77030-2713 ORAL SURGERY
Mark Chambers 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 ORAL SURGERY
Harry Gilbert 6410 Fannin, Houston, TX 77030-3005 ORAL SURGERY
Ruth Aponte Wesson 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 ORAL SURGERY
John Smith 6410 Fannin St, Houston, TX 77030-5294 ORAL SURGERY
Sue Richardson 7000 Fannin St, Houston, TX 77030-5501 ORAL SURGERY
Issa Hanna 6410 Fannin, Houston, TX 77030-3005 ORAL SURGERY
Theresa Hofstede 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 ORAL SURGERY

Zip 77030 · Medicare Physician

Name Address Specialty
Lisa Davis 1504 Taub Loop, Houston, TX 77030-1608 FAMILY PRACTICE
An Ngo 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 PHYSICAL MEDICINE AND REHABILITATION
Shannon Hancher-hodges 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 ANESTHESIOLOGY
Tiffany Chang 6400 Fannin St, Houston, TX 77030-1521 CRITICAL CARE (INTENSIVISTS)
Latira Chenevert 6410 Fannin, Houston, TX 77030-3005 NURSE PRACTITIONER
Jeremy Ross 6410 Fannin St, Houston, TX 77030-3003 INTERNAL MEDICINE
Allison Jaggard 6410 Fannin, Houston, TX 77030-3005 NURSE PRACTITIONER
Medha Airy 7200 Cambridge St, Houston, TX 77030-4202 NEPHROLOGY
Jeremy Slater 6410 Fannin, Houston, TX 77030-3005 NEUROLOGY
Stacy Norrell 6411 Fannin St, Houston, TX 77030-1501 ANESTHESIOLOGY
Carolyn Giveon 6624 Fannin, Houston, TX 77030-2336 NURSE PRACTITIONER
John Reveille 6410 Fannin, Houston, TX 77030-3005 RHEUMATOLOGY
Joyce Samuel 6410 Fannin, Houston, TX 77030-3005 PEDIATRIC MEDICINE
Huifang Lu 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 RHEUMATOLOGY
Massimo Pietropaolo 7200 Cambridge St, Houston, TX 77030-4202 ENDOCRINOLOGY
Allison Horner 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Lori Smith 6655 Travis St, Houston, TX 77030-1316 PHYSICIAN ASSISTANT
Vladimir Redko 6560 Fannin St, Houston, TX 77030-2736 ANESTHESIOLOGY
Erin Depew 6701 Fannin St, Houston, TX 77030-2608 CERTIFIED REGISTERED NURSE ANESTHETIST
Debbie Walcott 6624 Fannin St, Houston, TX 77030-2312 INTERNAL MEDICINE