Healthcare Provider Details

I. General information

NPI: 1083889570
Provider Name (Legal Business Name): MARLENE WENDEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19428 INTERSTATE 45 NORTH OAKS MEDICAL CENTER
SPRING TX
77386
US

IV. Provider business mailing address

17803 WILD OAK DR
HOUSTON TX
77090-1942
US

V. Phone/Fax

Practice location:
  • Phone: 281-367-1414
  • Fax:
Mailing address:
  • Phone: 281-444-2240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number228813
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: