Provider Demographics
NPI:1356629448
Name:GARCIA MARTINEZ, MAIKEL (FNP-C)
Entity Type:Individual
Prefix:
First Name:MAIKEL
Middle Name:
Last Name:GARCIA MARTINEZ
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19618 LITTLE PINE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2673
Mailing Address - Country:US
Mailing Address - Phone:713-550-6255
Mailing Address - Fax:
Practice Address - Street 1:19618 LITTLE PINE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2673
Practice Address - Country:US
Practice Address - Phone:713-550-6255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-24
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1019423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily