Jack W Martin Oral Surgery
1515 Holcombe Blvd Clinical Lab, 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 Clinical Lab, Houston, TX 77030-4000. The zip code is 77030.


Jack W Martin · 1515 Holcombe Blvd Clinical Lab, 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 7137926313
Group Practice PAC ID 7911801410
Number of Group Practice Members 1834
Address 1515 HOLCOMBE BLVD CLINICAL LAB
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

street_number: 2282
route: West Holcombe Boulevard (W Holcombe Blvd)
neighborhood, political: University Place
locality, political: Houston
admin_level_2, political: Harris County
admin_level_1, political: Texas (TX)
country, political: United States (US)
postal_code: 77030
types : establishment, health, point_of_interest
latitude: 29.70737
longitude: -95.4122928
latlng: (29.70737, -95.4122928)


Physicians Referral Service · Medicare Physician

Name Address Specialty
Boby Mathew 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 NURSE PRACTITIONER
Nina Patel 6655 Travis St, Houston, TX 77030-1316 PHYSICIAN ASSISTANT
Jessy Kurian 6655 Travis St, Houston, TX 77030-1316 NURSE PRACTITIONER
Michael Wong 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 MEDICAL ONCOLOGY
Steven Waguespack 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 ENDOCRINOLOGY
Sinchita Roy Chowdhuri 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 PATHOLOGY
Annie Zachariah 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Karin Woodman 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 NEUROLOGY
Wei-lien Wang 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PATHOLOGY
David Ferson 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 ANESTHESIOLOGY
Jane Williams 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 NURSE PRACTITIONER
Zhenya Tang 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 INFECTIOUS DISEASE
Milind Javle 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 MEDICAL ONCOLOGY
Jose Garcia 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 NURSE PRACTITIONER
Vianey Casarez 6655 Travis St, Houston, TX 77030-1316 CERTIFIED REGISTERED NURSE ANESTHETIST
Mona Sarkiss 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 ANESTHESIOLOGY
Dalliah Black 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 SURGICAL ONCOLOGY
Cezar Iliescu 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Paula Phillips 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Ariel Szvalb 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 INFECTIOUS DISEASE

Zip 77030 · Oral Surgery · Medicare Physician

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

Zip 77030 · Medicare Physician

Name Address Specialty
Amir Mohsenin 6400 Fannin St, Houston, TX 77030-1526 OPHTHALMOLOGY
Alla Kukuyev 6400 Fannin St, Houston, TX 77030-1526 OPHTHALMOLOGY
Richard Castriotta 6410 Fannin St, Houston, TX 77030-3005 PULMONARY DISEASE
George Carrum 7200 Cambridge St, Houston, TX 77030-4202 HEMATOLOGY
Roger Li 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 UROLOGY
Amy Hassan 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 HEMATOLOGY/ONCOLOGY
Lauren Bessner 6701 Fannin St, Houston, TX 77030-2608 CERTIFIED REGISTERED NURSE ANESTHETIST
Martha Mims 1504 Taub Loop, Houston, TX 77030-1608 HEMATOLOGY/ONCOLOGY
Dianna Milewicz 6410 Fannin, Houston, TX 77030-3005 INTERNAL MEDICINE
Jean Bismuth 6550 Fannin, Houston, TX 77030-2717 VASCULAR SURGERY
Ahmed Elsayem 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 INTERNAL MEDICINE
John Munz 6411 Fannin St, Houston, TX 77030-1501 ORTHOPEDIC SURGERY
Stephen Schreiner 6431 Fannin St, Houston, TX 77030-1501 ANESTHESIOLOGY ASSISTANT
Jean Bernard Durand 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Seema Jabeen 1504 Taub Loop, Houston, TX 77030-1608 INTERNAL MEDICINE
Ronald Rauch 6701 Fannin St, Houston, TX 77030-2608 DIAGNOSTIC RADIOLOGY
Garabed Eknoyan 1504 Taub Loop, Houston, TX 77030-1608 NEPHROLOGY
Raymond Martin 6431 Fannin St, Houston, TX 77030-1501 NEUROLOGY
Kendall Lencioni 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Mahalia Smith 6410 Fannin, Houston, TX 77030-3005 CARDIOVASCULAR DISEASE (CARDIOLOGY)