Provider Demographics
NPI:1457928475
Name:MARTIN, JULIUS III (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:
Last Name:MARTIN
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S LOOP W STE 300K
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2606
Mailing Address - Country:US
Mailing Address - Phone:866-234-3696
Mailing Address - Fax:833-287-5373
Practice Address - Street 1:2600 S LOOP W STE 300K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2606
Practice Address - Country:US
Practice Address - Phone:866-234-3696
Practice Address - Fax:833-287-5373
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist