Most Relevant Information
Provider Data
| NPI Number: | 1003419128 |
| Provider Name: | MARTHA BRICKEY PANDAJIS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/20/2020 |
| Last Updated: | 10/06/2021 |
Provider Practice Location
9380 W SAM HOUSTON PKWY S
HOUSTON
TX
770995222
Practice Location Phone/Fax
| Phone: | 8049722538 |
| Fax: |
Provider Mailing Location
9380 W SAM HOUSTON PKWY S
HOUSTON
TX
770995222
Provider Mailing Phone/Fax
| Phone: | 8049722538 |
| Fax: |