Organization Active NPI

Lone Star Wound Care Specialist LLC

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1164398889
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LONE STAR WOUND CARE SPECIALIST LLC
Practice address
8814 Sage Place Dr
Houston, TX 77071-3263
Phone
(682) 651-1396
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elmor Balitaan
Title
Owner
Phone
(682) 651-1396

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

8814 Sage Place Dr
Houston, TX 77071-3263

Mailing address

8814 Sage Place Dr
Houston, TX 77071-3263

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1164398889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 SAGE PLACE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770713263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 SAGE PLACE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770713263",
            "telephone_number": "682-651-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR WOUND CARE SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "BALITAAN",
        "authorized_official_first_name": "ELMOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-651-1396"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.