NPIMap

Organization Active NPI

Select Wound Care PLLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1407566375
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SELECT WOUND CARE PLLC
Practice address
5373 W Alabama St Ste 400
Ste 418
Houston, TX 77056-5923
Phone
(210) 607-8056
Fax
(346) 998-1855
NPI assigned
Dec 1, 2022
Reactivated
Oct 24, 2025
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Ian O'Jon
Title
Manager
Phone
(281) 337-3806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

5373 W Alabama St Ste 400
Ste 418
Houston, TX 77056-5923

Mailing address

5373 W Alabama St Ste 400
Houston, TX 77056-5923
Phone (210) 607-8056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112002813 TX Part B Supplier - Clinic/Group Practice 4789055575 Receives reassigned benefits from 15 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

5373 W Alabama St
Ste 449
Houston, TX 77056

5380 W 34th St
Ste 286
Houston, TX 77092

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1407566375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "210-607-8056",
            "fax_number": "346-998-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 400",
            "address_2": "STE 418",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "210-607-8056",
            "fax_number": "346-998-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "deactivation_date": "2025-09-24",
        "reactivation_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "O'JON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-337-3806"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.