Organization Active NPI

The Woodlands Wound Care Center, Inc.

  • Clinic/Center
  • Conroe, TX
National Provider Identifier
1669616017
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
J3249 Issued in TX
Legal business name
THE WOODLANDS WOUND CARE CENTER, INC.
Practice address
3115 College Park Dr
Suite 108
Conroe, TX 77384-4000
Phone
(936) 447-9351
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Evan B Tow, DONPI 1083798763
Title
Medical Director
Phone
(936) 447-9351

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
Clinic/Center 261Q00000X J3249 TX Primary

Addresses

Primary practice location

3115 College Park Dr
Suite 108
Conroe, TX 77384-4000

Mailing address

3115 College Park Dr
Suite 108
Conroe, TX 77384-4000
Phone (936) 447-9351

National Provider Directory

National Provider Directory

Locations

3115 College Park Dr
Ste 108
The Woodlands, TX 77384
Phone (936) 447-9351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1669616017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE 108",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "936-447-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE 108",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "936-447-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS WOUND CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "TOW",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "936-447-9351",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J3249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.