Provider Demographics
NPI:1679213268
Name:TONDRE, HEIDI KAYE (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:KAYE
Last Name:TONDRE
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:SCHUCART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11503 NW MILITARY HWY STE 113
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1998
Mailing Address - Country:US
Mailing Address - Phone:210-705-5151
Mailing Address - Fax:
Practice Address - Street 1:11503 NW MILITARY HWY STE 113
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1998
Practice Address - Country:US
Practice Address - Phone:210-705-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1071731363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner