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General NPI Number Information
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NPI Number | 1972485100
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Entity Type | Organization
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Legal Business Name | MARTIN POLIAK MD PLLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 4119 MONTROSE BLVD STE 100
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City | HOUSTON
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State | TX
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Zip | 77006-4971
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Country | US
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Telephone | 832-715-9366
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Fax |
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Provider Business Mailing Address
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Address Line | 4119 MONTROSE BLVD STE 100
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City | HOUSTON
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State | TX
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Zip | 77006-4971
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Country | US
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Telephone | 713-529-0543
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CYNTHIA SIMMONS
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Credential |
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Telephone | 832-715-9366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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