Provider Demographics
NPI:1972485100
Name:MARTIN POLIAK MD PLLC
Entity type:Organization
Organization Name:MARTIN POLIAK MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:POLIAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-515-9813
Mailing Address - Street 1:1200 BINZ ST STE 1130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6926
Mailing Address - Country:US
Mailing Address - Phone:713-529-0543
Mailing Address - Fax:
Practice Address - Street 1:4119 MONTROSE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4971
Practice Address - Country:US
Practice Address - Phone:832-715-9366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty