Healthcare Provider Details

I. General information

NPI: 1225578693
Provider Name (Legal Business Name): CRAIG MARTENS R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2017
Last Update Date: 03/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1289 N POST OAK RD STE 130
HOUSTON TX
77055-7267
US

IV. Provider business mailing address

1289 N POST OAK RD STE 130
HOUSTON TX
77055-7267
US

V. Phone/Fax

Practice location:
  • Phone: 800-627-7351
  • Fax: 800-530-0699
Mailing address:
  • Phone: 800-627-7351
  • Fax: 800-530-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number30252
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: