WPC Healthcare LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WPC HEALTHCARE LLC

Practice address

4816 Eagle Feather Dr
Austin, TX 78735-6471

Phone

(737) 202-7102

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. William Patrick Crouch

Title

Sole Member

Phone

(737) 202-7102

Specialties & licenses 5

Addresses

Other names 1

• WPC Compounding Management LLC Former legal business name

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1497110308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 EAGLE FEATHER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356471",
            "telephone_number": "737-202-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 EAGLE FEATHER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356471",
            "telephone_number": "737-202-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WPC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "737-202-7102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WPC Compounding Management LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jerel Kenneth Wottrich Sr., D.C.
• Stephanie Wottrich, MD
• Wound Care Partners PLLC
• Christian Jonathan Wower, DPM
• Robert J. Wozniak, MD
• Nicole Wray, PT, DPT
• Samantha Wray
• Hailey Alexandra Wren
• Robyn Wriborg, C.R.N.A.
• Stephanie Wriborg, PT

• Multi-Specialty Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.