Provider Demographics
NPI:1164616298
Name:MARTINEZ-QUINONES, OMAR (LSA)
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:
Last Name:MARTINEZ-QUINONES
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Gender:M
Credentials:LSA
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Mailing Address - Street 1:709 MILLS LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4746
Mailing Address - Country:US
Mailing Address - Phone:713-562-0938
Mailing Address - Fax:
Practice Address - Street 1:10039 BISSONNET ST STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7852
Practice Address - Country:US
Practice Address - Phone:713-779-9800
Practice Address - Fax:713-779-9862
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2022-11-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical