Martin Basaldua MD Optimal Health & Wellness Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

F8007 Issued in TX

Legal business name

MARTIN BASALDUA MD OPTIMAL HEALTH & WELLNESS CENTER

Practice address

22999 Highway 59 N
Suite 270
Kingwood, TX 77339-4412

Phone

(281) 359-5749

Fax

(281) 359-2089

NPI assigned

Apr 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martin Basaldua, M.D.

Title

President

Phone

(281) 359-5749

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154443471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 BROOKSIDE PINE LN",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773451909",
            "telephone_number": "281-359-5749",
            "fax_number": "281-359-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "address_2": "SUITE 270",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "281-359-5749",
            "fax_number": "281-359-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN BASALDUA MD OPTIMAL HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASALDUA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-359-5749",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "F8007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor M Manon, DDS
• Yvonne K Maosa, DO
• Caleb Marcy
• Maribel Colon-Torrado DMD, PA
• Devyn C Marin, CST
• Veronica Renee Martin-Perkins, PH.D, LPC, CSC
• Akilah Martin, M.A, NCC, LPC-S
• Sandra Louise Martin, N.P.
• Martindale Health Services, Inc
• Diana Martinez Delgado

• Health Service Clinic/Center in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.