Active NPI
Memorial Wound Care and Infusion Center
- Clinic/Center
- Katy, TX
National Provider Identifier
1780204818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MEMORIAL WOUND CARE AND INFUSION CENTER
- Practice address
- 439 Mason Park Blvd Ste a
Katy, TX 77450-6242 - Phone
- (281) 206-7806
- NPI assigned
- Apr 18, 2020
- 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
- Elijah Collins
- Title
- Ceo
- Phone
- (281) 206-7806
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Occupational Medicine Clinic/Center | 261QX0100X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
Addresses
Primary practice location
439 Mason Park Blvd Ste a
Katy, TX 77450-6242
Mailing address
439 Mason Park Blvd Ste a
Katy, TX 77450-6242
National Provider Directory
National Provider DirectoryLocations
439 Mason Park Blvd
Ste A
Katy, TX 77450
Phone (281) 206-7806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587168000000",
"number": "1780204818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 MASON PARK BLVD STE A",
"city": "KATY",
"state": "TX",
"postal_code": "774506242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 MASON PARK BLVD STE A",
"city": "KATY",
"state": "TX",
"postal_code": "774506242",
"telephone_number": "281-206-7806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL WOUND CARE AND INFUSION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-18",
"last_updated": "2020-04-18",
"certification_date": "2020-04-18",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "ELIJAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "281-206-7806"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
- Memorial Hermann Surgery Center Kingsland LLC (Memorial Hermann Surgery Center Kingsland)
- Memorial Hermann Surgery Center Westgreen, LLC (Memorial Hermann Surgery Center Westgreen)
- Memorial Home Healthcare Inc
- Memorial Oral and Maxillofacial Surgery of Katy/Fulshear (Brazos Oral and Maxillofacial Surgery)
- Memorial Prosthetics and Orthotics Inc
- Memorial-Katy Gastroenterology Consultants, P.a.
- Mena Health
- Oleydis Mendez Toranzo
- Aida Mendez, LPC
- Somara Mendez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.