Organization Active NPI

Lymphedema & Woundcare Institute

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1508912221
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LYMPHEDEMA & WOUNDCARE INSTITUTE
Practice address
10023 Main St Ste C8
Houston, TX 77025-5252
Phone
(713) 526-7926
Fax
(281) 786-1966
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Ryan C Chuston
Title
Ceo
Phone
(832) 236-7926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

10023 Main St Ste C8
Houston, TX 77025-5252

Mailing address

PO Box 20306
Houston, TX 77225-0306
Phone (713) 526-7926

Other identifiers 2

IdentifierTypeStateIssuer
5803665OtherTXCIGNA
8CQ775OtherTXBC/BS

National Provider Directory

National Provider Directory

Locations

2150 Richmond Ave
Houston, TX 77098

1800 W 26th St
Ste 150
Houston, TX 77008

401 Ranch Road 620 S
Ste 250
Lakeway, TX 78734
Phone (512) 206-8102

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1508912221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20306",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772250306",
            "telephone_number": "713-526-7926",
            "fax_number": "281-786-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10023 MAIN ST STE C8",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255252",
            "telephone_number": "713-526-7926",
            "fax_number": "281-786-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA & WOUNDCARE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "CHUSTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-236-7926"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5803665",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8CQ775",
            "state": "TX"
        }
    ],
    "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 28, 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.