Individual
STACEY KATHLEEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 873-8890
(713) 566-6137
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-7500
(713) 512-2234
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
N2641
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
N2641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307831301
—
TX
Enumeration date
05/24/2011
Last updated
02/06/2025
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