Provider Demographics
NPI:1497834618
Name:ERIC K TONDERA DC PC
Entity Type:Organization
Organization Name:ERIC K TONDERA DC PC
Other - Org Name:TONDERA FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:K
Authorized Official - Last Name:TONDERA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-988-3223
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:713-988-2233
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:713-988-2233
Practice Address - Fax:832-617-7823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X677Medicare PIN