Provider Demographics
NPI:1457359580
Name:VANDAELE, FRANCOISE THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCOISE
Middle Name:THOMAS
Last Name:VANDAELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 SPACE PARK DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3600
Mailing Address - Country:US
Mailing Address - Phone:281-334-6875
Mailing Address - Fax:281-334-0664
Practice Address - Street 1:2060 SPACE PARK DR
Practice Address - Street 2:SUITE 410
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3600
Practice Address - Country:US
Practice Address - Phone:281-334-6875
Practice Address - Fax:281-334-0664
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2623174400000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FL055OtherBLUE CROSS BLUE SHIELD
TX8FX462OtherBLUE CROSS BLUE SHIELD
TX105812503Medicaid
TX105812504Medicaid
TXP08862339Medicaid
TX463103ZSWDMedicare PIN
TX8FL055OtherBLUE CROSS BLUE SHIELD
TX105812503Medicaid