Provider Demographics
NPI:1114320850
Name:RESENDEZ, LOURDES (CD)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:
Last Name:RESENDEZ
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16938 CREEK LINE DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4202
Mailing Address - Country:US
Mailing Address - Phone:713-446-4239
Mailing Address - Fax:
Practice Address - Street 1:16938 CREEK LINE DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4202
Practice Address - Country:US
Practice Address - Phone:713-446-4239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula