Woodlands Premium Care Partners LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

WOODLANDS PREMIUM CARE PARTNERS LLC

Practice address

9180 Pinecroft Dr Ste 401
Shenandoah, TX 77380-3899

Phone

(419) 699-4384

NPI assigned

Aug 17, 2022

Organization subpart

No

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

Authorized official

Name

Mehtab Abbasi

Title

Office Manager

Phone

(917) 336-8422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1619695541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 550",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803259",
            "telephone_number": "419-699-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 401",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803899",
            "telephone_number": "419-699-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS PREMIUM CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "MEHTAB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-336-8422"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Woodlands Vein Center & Preventative Medicine Clinic

• Gastroenterology Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.