Healthcare Provider Details

I. General information

NPI: 1255317079
Provider Name (Legal Business Name): ROCHELLE E PONDT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W HOLCOMBE BLVD FL 1
HOUSTON TX
77025-1313
US

IV. Provider business mailing address

PO BOX 90190
HOUSTON TX
77290-0190
US

V. Phone/Fax

Practice location:
  • Phone: 713-814-2800
  • Fax:
Mailing address:
  • Phone: 281-587-1700
  • Fax: 281-880-6977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN5947
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: