Provider Demographics
NPI:1366158552
Name:ORDONEZ, SANDRA
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:ORDONEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 WIRT RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-1231
Mailing Address - Country:US
Mailing Address - Phone:832-426-4350
Mailing Address - Fax:713-640-5441
Practice Address - Street 1:2323 WIRT RD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-1231
Practice Address - Country:US
Practice Address - Phone:832-426-4350
Practice Address - Fax:713-640-5441
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier