Provider Demographics
NPI:1083889570
Name:WENDEL, MARLENE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:
Last Name:WENDEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17803 WILD OAK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1942
Mailing Address - Country:US
Mailing Address - Phone:281-444-2240
Mailing Address - Fax:
Practice Address - Street 1:19428 INTERSTATE 45 NORTH
Practice Address - Street 2:OAKS MEDICAL CENTER
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:281-367-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228813363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily