MEDICARE: MW ORENDA, LLC

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
1	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician

General Provider Information

NPI Number	:	1477290369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MW ORENDA, LLC

Provider Business Mailing Address
First Line	:	3050 POST OAK BLVD STE 510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-6512
Country	:	US
Telephone Number	:	713-364-0648
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 SMITH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-3461
Country	:	US
Telephone Number	:	713-364-0648
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERICA LAWRY
Credential	:
Telephone Number	:	713-364-0648

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	05/12/2022

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Directions to “MW ORENDA, LLC ” Practice Location

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