Provider Demographics
NPI:1841526167
Name:CONDE, WENDY V (OD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:V
Last Name:CONDE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 DEMARET LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6115
Mailing Address - Country:US
Mailing Address - Phone:832-794-7884
Mailing Address - Fax:
Practice Address - Street 1:19511 I H 45
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-6015
Practice Address - Country:US
Practice Address - Phone:281-288-4231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-21
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7457TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist