Provider Demographics
NPI:1518582360
Name:MARTINEZ GINARTE, MADELAINE (NP)
Entity Type:Individual
Prefix:
First Name:MADELAINE
Middle Name:
Last Name:MARTINEZ GINARTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 SHERBURNE CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3791
Mailing Address - Country:US
Mailing Address - Phone:346-719-8021
Mailing Address - Fax:
Practice Address - Street 1:1900 BLALOCK RD STE M
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-5446
Practice Address - Country:US
Practice Address - Phone:832-831-4883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX980502163W00000X
TX1075705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse