Jack W Martin Oral Surgery
1515 Holcombe Blvd Dept of Pathol, 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 Dept of Pathol, Houston, TX 77030-4000. The zip code is 77030.


Jack W Martin · 1515 Holcombe Blvd Dept of Pathol, 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 7137926127
Group Practice PAC ID 7911801410
Number of Group Practice Members 1834
Address 1515 HOLCOMBE BLVD DEPT OF PATHOL
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
Wen-jen Hwu 6655 Travis St, Houston, TX 77030-1316 MEDICAL ONCOLOGY
Meagan Rowan 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Lauren Mayo 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 RADIATION ONCOLOGY
Steven Lin 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 RADIATION ONCOLOGY
Nguyet Do 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Sophia Higareda 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Shelley Martin 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 CERTIFIED REGISTERED NURSE ANESTHETIST
Jessica Yi 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 CERTIFIED REGISTERED NURSE ANESTHETIST
Donna Calabrese 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 CRITICAL CARE (INTENSIVISTS)
Tralynn Victorian 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 NURSE PRACTITIONER
Chao-ming Lai 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 NURSE PRACTITIONER
Travis Grotz 6655 Travis St, Houston, TX 77030-1316 SURGICAL ONCOLOGY
Teresa Simon 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Peirong Yu 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 PLASTIC AND RECONSTRUCTIVE SURGERY
Kelly Hunt 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 SURGICAL ONCOLOGY
Anne Brinkman 6655 Travis St, Houston, TX 77030-1316 NURSE PRACTITIONER
Lata Mathews 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 NURSE PRACTITIONER
Sarah Baldwin 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 NURSE PRACTITIONER
Mark Clemens 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 PLASTIC AND RECONSTRUCTIVE SURGERY
Syed Yusuf 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 CARDIOVASCULAR DISEASE (CARDIOLOGY)

Zip 77030 · Oral Surgery · Medicare Physician

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

Zip 77030 · Medicare Physician

Name Address Specialty
Melody Caranto 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 NURSE PRACTITIONER
Jamuna Daniel 6560 Fannin St, Houston, TX 77030-2761 INTERNAL MEDICINE
Scott Rosenfeld 6701 Fannin St, Houston, TX 77030-2608 ORTHOPEDIC SURGERY
William Morrison 1515 Holcombe Blvd Hemopathology, Houston, TX 77030-4000 RADIATION ONCOLOGY
James Horn 7401 Main St, Houston, TX 77030-4509 ORTHOPEDIC SURGERY
Arjun Tarakad 7200 Cambridge St, Houston, TX 77030-4202 NEUROLOGY
Raja Rama Mohana Palvadi 1504 Taub Loop, Houston, TX 77030-1608 ANESTHESIOLOGY
Vanessa Marin 6410 Fannin, Houston, TX 77030-3005 PHYSICIAN ASSISTANT
Jie Cheng 1504 Taub Loop, Houston, TX 77030-1608 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Darren Gore 7401 Main St, Houston, TX 77030-4509 PHYSICIAN ASSISTANT
Lokesh Shahani 6410 Fannin, Houston, TX 77030-3005 PSYCHIATRY
Andrew Allison 6410 Fannin St, Houston, TX 77030-3005 ANESTHESIOLOGY
Monica Wu 6410 Fannin, Houston, TX 77030-3005 FAMILY PRACTICE
Patrick Lynch 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 INTERNAL MEDICINE
Rosaline Buys 6400 Fannin St, Houston, TX 77030-1521 NURSE PRACTITIONER
Pablo Okhuysen 6655 Travis St, Houston, TX 77030-1316 INFECTIOUS DISEASE
Jennifer Szutu 1515 Holcombe Blvd Clinical Lab, Houston, TX 77030-4000 PHYSICIAN ASSISTANT
Jeffrey Jones 7200 Cambridge St, Houston, TX 77030-4202 UROLOGY
Kelli Wright 6410 Fannin, Houston, TX 77030-3005 PHYSICIAN ASSISTANT
Omotola Hope 6410 Fannin, Houston, TX 77030-3005 NEUROLOGY