Individual
MARK WAGIH GENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17198 ST LUKES WAY STE 600, THE WOODLANDS, TX 77384-8017
(936) 266-2650
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
05886
KY
207X00000X
Orthopaedic Surgery Physician
Primary
V9902
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
V9902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27477312
TEXAS DEPARTMENT OF TRANSPORTATION
TX
Enumeration date
04/18/2019
Last updated
07/14/2025
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