Individual
MARTIN J. CITARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 FANNIN ST, SUITE 2700, HOUSTON, TX 77030-1521
(713) 465-5000
(713) 383-1410
Mailing address
6431 FANNIN STREET, MSB 5.036, HOUSTON, TX 77030
(713) 500-0541
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35078802C
OH
207Y00000X
Otolaryngology Physician
Primary
M8607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040015678
MEDICARE RAILROAD
OH
05
—
193763301
—
TX
05
—
2212019
—
OH
01
—
8BD690
BCBSTX
TX
01
—
M8607 207Y00000X
TX LICENSE & PRIMARY TAXOMONY
TX
Enumeration date
04/12/2006
Last updated
10/30/2022
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