Provider Demographics
NPI:1336315977
Name:MARTIN & WILLARD, LLC
Entity Type:Organization
Organization Name:MARTIN & WILLARD, LLC
Other - Org Name:PHYSICIAN LINX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO- PHYSICIAN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:CHERYL
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:281-565-0955
Mailing Address - Street 1:14019 SOUTHWEST FWY STE 301-438
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3563
Mailing Address - Country:US
Mailing Address - Phone:281-565-0955
Mailing Address - Fax:281-565-0956
Practice Address - Street 1:14019 SOUTHWEST FWY STE 301-438
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3563
Practice Address - Country:US
Practice Address - Phone:281-565-0955
Practice Address - Fax:281-565-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8J2175363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty