Provider Demographics
NPI:1487083812
Name:DOW, WENDY
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:DOW
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 1:5400 PINEMONT DR STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-3400
Mailing Address - Country:US
Mailing Address - Phone:281-673-5519
Mailing Address - Fax:713-956-1227
Practice Address - Street 1:5400 PINEMONT DR STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-3400
Practice Address - Country:US
Practice Address - Phone:281-673-5519
Practice Address - Fax:713-956-1227
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor