Active NPI
Wound Care Center of Texas, PLLC
Doing business as Third River Health
- Internal Medicine Physician
- College Station, TX
National Provider Identifier
1710780234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WOUND CARE CENTER OF TEXAS, PLLC
- Doing business as
- Third River Health
- Practice address
- 1512 Holleman Dr
College Station, TX 77840-3297 - Phone
- (979) 426-4325
- Fax
- (979) 810-0191
- NPI assigned
- Mar 31, 2025
- Last updated
- Jul 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnny Myers, MD
- Title
- Authorized Official
- Phone
- (678) 642-4894
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
1512 Holleman Dr
College Station, TX 77840-3297
Mailing address
PO Box 10525
College Station, TX 77842-0525
Phone (979) 426-4325
Other names 1
- Third River Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2325197 | Wound Care Center of Texas PLLC | Certificate of waiver | Jun 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
1600 Joseph Dr
#2000
Bryan, TX 77802
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Emergency Medicine Physician
- College Station, TX
- NPI 1730144718
-
- Vascular & Interventional Radiology Physician
- Houston, TX
- NPI 1508153685
-
- Internal Medicine Physician
- College Station, TX
- NPI 1174530513
-
- Acute Care Nurse Practitioner
- Dallas, TX
- NPI 1174122824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752019200000",
"number": "1710780234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10525",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778420525",
"telephone_number": "979-426-4325",
"fax_number": "979-810-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 HOLLEMAN DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778403297",
"telephone_number": "979-426-4325",
"fax_number": "979-810-0191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND CARE CENTER OF TEXAS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-31",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "JOHNNY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "678-642-4894",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Third River Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Third River Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.