Provider Demographics
NPI:1376300855
Name:ONYX WOUND AND OSTOMY CARE LLC
Entity Type:Organization
Organization Name:ONYX WOUND AND OSTOMY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WENDT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-627-9346
Mailing Address - Street 1:3302 CHAPEL BEND DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2044
Mailing Address - Country:US
Mailing Address - Phone:832-808-4420
Mailing Address - Fax:
Practice Address - Street 1:5625 FM 1960 RD W STE 505-B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4207
Practice Address - Country:US
Practice Address - Phone:832-808-4420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty