Provider Demographics
NPI:1073716486
Name:WENDENBURG, HANS O (MD)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:O
Last Name:WENDENBURG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2990 RICHMOND AVE
Mailing Address - Street 2:SUITE 142
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3104
Mailing Address - Country:US
Mailing Address - Phone:713-520-0358
Mailing Address - Fax:713-520-5903
Practice Address - Street 1:2990 RICHMOND AVE
Practice Address - Street 2:SUITE 142
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3104
Practice Address - Country:US
Practice Address - Phone:713-520-0358
Practice Address - Fax:713-520-5903
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD6206174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist