Provider Demographics
NPI:1811325806
Name:BUENDIA, FERDINAND SR (LMT, CMAT, BCTMB)
Entity type:Individual
Prefix:MR
First Name:FERDINAND
Middle Name:
Last Name:BUENDIA
Suffix:SR
Gender:M
Credentials:LMT, CMAT, BCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 TEXOMA PKWY TRLR 2
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2478
Mailing Address - Country:US
Mailing Address - Phone:727-900-1331
Mailing Address - Fax:
Practice Address - Street 1:2424 TEXOMA PKWY TRLR 2
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2478
Practice Address - Country:US
Practice Address - Phone:727-900-1331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010037740225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist