Wound Integrity Louisiana PMC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WOUND INTEGRITY LOUISIANA PMC

Practice address

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917

Phone

(512) 202-3830

Fax

(512) 354-1106

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Han Pham Hulen, MD

Title

Owner

Phone

(214) 274-1507

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1235744566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3409",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786913409",
            "telephone_number": "512-202-3830",
            "fax_number": "512-354-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "512-202-3830",
            "fax_number": "512-354-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND INTEGRITY LOUISIANA PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "HULEN",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-274-1507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria-Kathryn Woods
• Wesley Woods, DO
• Kacey Wooley
• Worth Counseling Group
• Roger Lee Wortham, MD
• Theresa Ann Wozencraft, PH.D.
• Cathryn Elizabeth Wright, N.P.
• Kristyn Q Wunder, FNP & AGACNP
• Emily J Wyatt, PMHNP BC
• Kimberly Wyatt

• Internal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.