Organization Active NPI

Elite Wound Care of Texas PLLC

  • Internal Medicine Physician
  • Cypress, TX
National Provider Identifier
1467210914
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELITE WOUND CARE OF TEXAS PLLC
Practice address
16635 Spring Cypress Rd Ste 1462
Cypress, TX 77429-1713
Phone
(832) 559-4390
Fax
(832) 482-1700
NPI assigned
Mar 11, 2024
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Aramis Cosme, MDNPI 1194179010
Title
Medical Director
Phone
(713) 819-0237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

16635 Spring Cypress Rd Ste 1462
Cypress, TX 77429-1713

Mailing address

15014 Roadway Rock CT
Cypress, TX 77433-4168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240816002395 TX Part B Supplier - Clinic/Group Practice 6800334236 Receives reassigned benefits from 3 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

16635 Spring Cypress Rd
#1462
Cypress, TX 77429

16635 Spring Cypress Rd
Ste 1462
Cypress, TX 77429
Phone (832) 559-4390

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1467210914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15014 ROADWAY ROCK CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16635 SPRING CYPRESS RD STE 1462",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291713",
            "telephone_number": "832-559-4390",
            "fax_number": "832-482-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND CARE OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "COSME",
        "authorized_official_first_name": "ARAMIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-819-0237",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.