Provider Demographics
NPI:1225578693
Name:MARTENS, CRAIG (RPH)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:MARTENS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1289 N POST OAK RD
Mailing Address - Street 2:STE 130
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7267
Mailing Address - Country:US
Mailing Address - Phone:800-627-7351
Mailing Address - Fax:800-530-0699
Practice Address - Street 1:1289 N POST OAK RD
Practice Address - Street 2:STE 130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7267
Practice Address - Country:US
Practice Address - Phone:800-627-7351
Practice Address - Fax:800-530-0699
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302521835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric