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NPI Code Detail

MEDICARE: ROCHELLE E PONDT D.O.

MEDICARE:   ROCHELLE E PONDT  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianN5947TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18CJ772OTHERTXBCBS #

General Provider Information

NPI Number : 1255317079
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCHELLE E PONDT D.O.
Provider Business Mailing Address
First Line : PO BOX 90190
Second Line :
City : HOUSTON
State : TX
Zip : 77290-0190
Country : US
Telephone Number : 281-587-1700
Fax Number : 281-880-6977
Provider Business Practice Location Address
First Line : 3525 W HOLCOMBE BLVD FL 1
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1313
Country : US
Telephone Number : 713-814-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 09/17/2025

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Directions to “ ROCHELLE E PONDT D.O.” Practice Location

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