Individual
TABITHA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 S LOOP W STE 100G, HOUSTON, TX 77054-2638
(832) 225-6680
(346) 502-3579
Mailing address
2616 S LOOP W STE 100G, HOUSTON, TX 77054-2638
(832) 225-6680
(346) 502-3579
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/30/2022
Last updated
09/18/2024
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