Woodlands Vascular Access Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WOODLANDS VASCULAR ACCESS CENTER LLC

Practice address

17191 St Lukes Way Ste 280
Conroe, TX 77384-8043

Phone

(832) 928-6993

Fax

(913) 904-3422

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Walls, MD

Title

Owner

Phone

(936) 271-3400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1245643980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY STE 280",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848043",
            "telephone_number": "936-202-1260",
            "fax_number": "913-904-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY STE 280",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848043",
            "telephone_number": "832-928-6993",
            "fax_number": "913-904-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS VASCULAR ACCESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-271-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodlands Hand Rehabilitation Center LLC
• Woodlands Integrative Care Hospital
• Woodlands Smiles Dentistry and Orthodontics, PC
• Woodlands Spine & Rehab
• Woodlands Supreme LLC
• Vickie A. Woods-Modeland, PNP
• Harmonie Woodson
• Allison Woolford, LPC
• Megan Woolford
• Ashley Yvette Wright, LPC, CSC

• Specialist in Conroe, TX
• Providers in Conroe, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.