Provider Demographics
NPI:1316566045
Name:MARTINEZ, CLAUDIA ILISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:ILISSA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1331 MOURSUND AVENUE
Mailing Address - Street 2:BLDG. G RM 115-118
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-799-5033
Mailing Address - Fax:713-797-5982
Practice Address - Street 1:1331 MOURSUND AVENUE
Practice Address - Street 2:BLDG. G RM 115-118
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-799-5033
Practice Address - Fax:713-797-5982
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program