WOODLANDS ADDICTION MEDICINE GROUP (NPI# 1588173967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588173967 |
| Entity Type | Organization |
| Organization Name | WOODLANDS ADDICTION MEDICINE GROUP |
| Practice Address |
2610 Technology Forest Blvd The Woodlands TX 77381-3904 |
| Mailing Address |
1100 Park Central Blvd S Ste 3400 Pompano Beach FL 33064-2265 |
| Practice Telephone | 9546910856 |
| Practice Fax Number | 9546910834 |
| Mailing Telephone | 9546910856 |
| Mailing Fax Number | 9546910834 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Authorized Official Name | MISS DONNA CAMPBELL (DIRECTOR OF COLLECTIONS) |
| Authorized Official Telephone | 9546910856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2610 TECHNOLOGY FOREST BLVD |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77381-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306200324 | Shelley Lynne Muller | Counselor | 2610 Technology Forest Blvd, The Woodlands, TX 77381-3904 | 2016-04-06 |
| 1952824997 | Houston Lakeview, LLC | Substance Abuse Rehabilitation Facility | 2610 Technology Forest Blvd, The Woodlands, TX 77381-3904 | 2017-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128856 | Y2k Services, LLC | Non-emergency Medical Transport (VAN) | 74 Natures Harp Ct, Spring, TX 77381 | 2020-09-09 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| 1740793595 | Brazo Pharmacy LLC | Pharmacy | 2700 Technology Forest Blvd Ste 200, The Woodlands, TX 77381 | 2017-11-14 |
| 1275045288 | Marney Vitthal | Speech-Language Pathologist | 2 Cranberry Bend, Spring, TX 77381 | 2017-10-31 |
| 1205293453 | Add Health and Wellness of The Woodlands, LLC | Counselor | 2700 Research Forest Dr #130, The Woodlands, TX 77381 | 2016-01-19 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1932526894 | Hung Van Doan | Acupuncturist | 9001 Forest Crossing Drive, Suite F, Houston, TX 77381 | 2014-03-27 |
| 1215358726 | Dustin Etemadi | Chiropractor | 4810 W. Panther Creek Dr., Suite 105, The Woodlands, TX 77381 | 2013-12-31 |
| 1194075697 | The Woodlands Eating Disorders Center | Psychologist | 4840 W. Panther Creek Dr., Ste. 212, The Woodlands, TX 77381 | 2012-09-12 |
| 1386992980 | Proteome Diagnostics, LLC | Clinical Medical Laboratory | 79 N. Misty Morning Trace, Spring, TX 77381 | 2012-08-29 |
| Find all providers in zip 77381 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192522 | Cleanslate Medical Group of Texas Pllc | Internal Medicine | 2912 Kraft St Ste 30, Arlington, TX 76010-5410 | 2017-02-09 |
| 1427508027 | Bela Roth | Internal Medicine | 2427 Thorndon Park Ct, League City, TX 77573-5563 | 2016-10-06 |
| 1639450182 | Jeremias M. Abueme,md,pa | Internal Medicine | 5282 Medical Dr Ste 130, San Antonio, TX 78229-6023 | 2011-08-29 |
| 1538165162 | Migdalia Molina | Internal Medicine | 730 N Main, Ste 515, San Antonio, TX 78205-1116 | 2005-06-28 |
| 1013456375 | Hs Physician Services of Texas PC | Internal Medicine | 3800 County Road 444, Princeton, TX 75407-4432 | 2017-02-20 |
| 1457712291 | Talvah LLC | Internal Medicine | 8201 Ohio Dr, 112, Plano, TX 75024-2357 | 2016-03-07 |
| 1366626517 | Kerrville Medical Services, Pa | Internal Medicine | 145 La Hacienda Way, La Hacienda Treatment Center, Hunt, TX 78024 | 2007-12-24 |
| City | THE WOODLANDS |
| Zip Code | 77381 |
Please comment or provide details below to improve the information on WOODLANDS ADDICTION MEDICINE GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.