THE WOODLANDS WOUND CARE CENTER, INC. (NPI# 1669616017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669616017 |
Entity Type | Organization |
Organization Name | THE WOODLANDS WOUND CARE CENTER, INC. |
Practice Address |
3115 College Park Dr Suite 108 Conroe TX 77384-4000 |
Practice Telephone | 9364479351 |
Mailing Telephone | 9364479351 |
Enumeration Date | 2009-04-29 |
Last Update Date | 2009-04-29 |
Authorized Official Name | EVAN B TOW (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9364479351 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | J3249 | TX | Ambulatory Health Care Facilities |
Street Address |
3115 COLLEGE PARK DR SUITE 108 |
City | CONROE |
State | TX |
Zip Code | 77384-4000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932507175 | College Park Home Visits Mht LLC | Family Medicine | 3115 College Park Dr, Suite 106, Conroe, TX 77384-4000 | 2014-12-19 |
1538468186 | Stephanie Nate Gerald | Registered Nurse | 3115 College Park Dr, Suite 104, Conroe, TX 77384-4001 | 2011-03-22 |
1346549995 | Brittany Lynn Mclane | Nurse's Aide | 3115 College Park Dr, Suite 104, Conroe, TX 77384 | 2011-03-22 |
1013093897 | Murray Bruce Fershtman | Pediatrics | 3115 College Park Dr, Ste #104, Conroe, TX 77384 | 2006-10-27 |
1770669566 | Murray B. Fershtman, M.d. | Pediatrics | 3115 College Park Dr, Ste 104, Conroe, TX 77384-4001 | 2006-10-27 |
1033295837 | Norma Angelica Galvez | Specialist/Technologist, Other | 3115 College Park Dr, Suite #104, Conroe, TX 77384 | 2006-10-27 |
1235215039 | Keri Regina Fershtman | Nurse Practitioner | 3115 College Park Dr, Suite 104, Conroe, TX 77384-4001 | 2006-10-27 |
1861578676 | Pamela Joyce Jones | Licensed Practical Nurse | 3115 College Park Dr, Suite 104, Conroe, TX 77384 | 2006-10-27 |
1003917493 | Shelley Nauman | Registered Nurse | 3115 College Park Dr, Suite 104, Conroe, TX 77384 | 2006-09-26 |
1841211810 | Zain LLC | Pharmacy | 3115 College Park Dr, Ste 103a, Conroe, TX 77384 | 2006-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104228758 | College Park Surgery Center | Clinic/Center | 3074 College Park Dr, Conroe, TX 77384-8002 | 2014-09-25 |
1497097604 | St. Hope Foundation, Inc. | Clinic/Center | 1414 S Frazier St, Suite 105, Conroe, TX 77301-4453 | 2013-03-26 |
1841318417 | Rcmh, LLC | Clinic/Center | 2108 N Frazier St, Conroe, TX 77301-1203 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
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1417558826 | Mercy Clinic | Clinic/Center | 951 Tristar Dr, Webster, TX 77598-1536 | 2020-11-03 |
1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
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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.