Woodlands Functional Medicine Specialist PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

WOODLANDS FUNCTIONAL MEDICINE SPECIALIST PLLC

Practice address

10857 Kuykendahl Rd Ste 110
The Woodlands, TX 77382-2936

Phone

(346) 220-8063

NPI assigned

Dec 8, 2022

Last updated

Dec 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Alan Nash, MDNPI 1962428656

Title

Owner

Phone

(346) 220-8063

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Edward Alan Nash, M.D.

  • Physical Medicine & Rehabilitation Physician
  • The Woodlands, TX
  • NPI 1962428656
  Authorized official Same address or phone

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1609587864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N FAZIO WAY",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892701",
            "telephone_number": "346-220-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 110",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822936",
            "telephone_number": "346-220-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS FUNCTIONAL MEDICINE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-220-8063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodlands Family Medicine PLLC (Woodlands Family and Community Medicine)
• Woodlands Family Nutrition Center LLC
• Woodlands Family Practice P.a.
• Woodlands First Assist PLLC
• Woodlands Functional Family Medicine PLLC
• Woodlands Gynecology & Aesthetics
• Woodlands I-45 Medical Center PLLC
• Woodlands Imaging LP
• Woodlands Inpatient Physicians PA
• Woodlands Integrated Healthcare Specialists, PLLC

• Pain Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.