Freedom Wound Physicians PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FREEDOM WOUND PHYSICIANS PA

Practice address

1 Chisholm Trail Rd Ste 215
Round Rock, TX 78681-5094

Phone

(512) 202-3830

Fax

(512) 354-1106

NPI assigned

Jul 9, 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

(513) 252-7792

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1356969984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 215",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815094",
            "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": "1 CHISHOLM TRAIL RD STE 215",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815094",
            "telephone_number": "512-202-3830",
            "fax_number": "512-354-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM WOUND PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "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": "513-252-7792",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.