Road to Recovery Wound Care LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ROAD TO RECOVERY WOUND CARE LLC

Practice address

105 S Bearkat CT
Montgomery, TX 77316-1869

Phone

(713) 392-0252

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By 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

Joshua Davis, NPNPI 1902675168

Title

Owner

Phone

(713) 392-0252

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.

• Joshua Steven Davis, AGACNP

  • Nurse Practitioner
  • Shenandoah, TX
  • NPI 1902675168
  Authorized official Same address or phone

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1770337545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BEARKAT CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773161869",
            "telephone_number": "713-392-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BEARKAT CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773161869",
            "telephone_number": "713-392-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO RECOVERY WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-392-0252",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desaray Leigh Rich, LMT
• Ridecaretx LLC
• Robin Kathleen Rivers, D.C.
• Kenneth Wayne Roach
• Miranda Michelle Roach, FNP-C
• Amber Robertson, FNP-C
• Jack Stephen Robinson, MD
• Madison Alise Rodriguez
• Courtney Roebuck, MT-BC
• Stephanie Roman

• Nurse Practitioner in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.