Provider Demographics
NPI:1407859101
Name:TONDERA, ERIC KARL (NP-C, DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:KARL
Last Name:TONDERA
Suffix:
Gender:M
Credentials:NP-C, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14740 BARRYKNOLL LN STE 160
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2885
Mailing Address - Country:US
Mailing Address - Phone:713-988-3223
Mailing Address - Fax:832-617-7823
Practice Address - Street 1:14740 BARRYKNOLL LN STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2885
Practice Address - Country:US
Practice Address - Phone:713-988-3223
Practice Address - Fax:832-617-7823
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX774895363L00000X, 363LF0000X
TX6124111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No111NN1001XChiropractic ProvidersChiropractorNutrition