Martin Diagnostic Clinic, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E0259 Issued in TX

Legal business name

MARTIN DIAGNOSTIC CLINIC, PA

Practice address

710 Lawrence St
Tomball, TX 77375-6455

Phone

(281) 351-7155

Fax

(281) 255-9471

NPI assigned

Oct 23, 2007

Last updated

Jan 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Earl F. Martin, M.D.NPI 1013998384

Title

Doctor/President

Phone

(281) 351-7155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earl Francis Martin, MD

  • Family Medicine Physician
  • Tomball, TX
  • NPI 1013998384
  Medicare reassignment NPD Authorized official
• Earl E Martin, DO

  • Family Medicine Physician
  • Tomball, TX
  • NPI 1336295344
  Medicare reassignment NPD
• Ioanna Gutierrez, N.P.

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1801345020
  NPD (past)
• Patricia Joanne Matlock, NP

  • Family Nurse Practitioner
  • Tomball, TX
  • NPI 1336264894
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1578752747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756455",
            "telephone_number": "281-351-7155",
            "fax_number": "281-255-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756455",
            "telephone_number": "281-351-7155",
            "fax_number": "281-255-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DIAGNOSTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "281-351-7155",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "E0259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Paul Home Healthcare LLC
• Barbara D Marino, MD FACOG
• Mark D. Le MD PA
• Mark H Copas DDS
• Scott Aaron Marquardt, AUD
• Earl E Martin, DO
• Earl Francis Martin, MD
• Kristi D Martin, COTA
• David Martinez Leon Sr.
• Courtney Rae Martinez, FNP

• Primary Care Clinic/Center in Tomball, TX
• Providers in Tomball, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.