Provider Demographics
NPI:1619904398
Name:ARISCO, MARTIN J (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:J
Last Name:ARISCO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4301 GARTH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3153
Mailing Address - Country:US
Mailing Address - Phone:281-422-2020
Mailing Address - Fax:281-422-4959
Practice Address - Street 1:1025 BIRDSONG DR STE A
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3205
Practice Address - Country:US
Practice Address - Phone:281-422-2020
Practice Address - Fax:281-422-4959
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2024-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD2343207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1619904398Medicaid
TX684067OtherAETNA
TX180022812OtherRR MEDICARE
TX123607702Medicaid
TXB20955Medicare UPIN