Provider Demographics
NPI:1710902978
Name:MARTINEZ, YAVONNE QWINSHELL (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YAVONNE
Middle Name:QWINSHELL
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 RIVERWOOD CT
Mailing Address - Street 2:STE. 100
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2890
Mailing Address - Country:US
Mailing Address - Phone:936-522-4000
Mailing Address - Fax:
Practice Address - Street 1:800 RIVERWOOD CT
Practice Address - Street 2:STE. 100
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2890
Practice Address - Country:US
Practice Address - Phone:936-522-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372191835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy