Healthcare Provider Details

I. General information

NPI: 1295314037
Provider Name (Legal Business Name): MARTINA AYAD, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 GENESIS BLVD STE A
WEBSTER TX
77598-1636
US

IV. Provider business mailing address

210 GENESIS BLVD STE A
WEBSTER TX
77598-1636
US

V. Phone/Fax

Practice location:
  • Phone: 281-338-7693
  • Fax: 281-338-8849
Mailing address:
  • Phone: 281-338-7693
  • Fax: 281-338-8849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTINA TOMA AYAD
Title or Position: PRESIDENT
Credential: MEDICAL DOCTOR
Phone: 281-338-7693