Active NPI
Woodlands Vein Center & Preventative Medicine Clinic
- Clinic/Center
- Shenandoah, TX
National Provider Identifier
1790366714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WOODLANDS VEIN CENTER & PREVENTATIVE MEDICINE CLINIC
- Practice address
- 150 Pine Forest Dr Ste 703
Shenandoah, TX 77384-5317 - Phone
- (281) 939-5915
- NPI assigned
- Apr 20, 2021
- 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
- Dr. Arindam Mohon Banerjee, MD
- Title
- Owner/Medical Director
- Phone
- (281) 795-3386
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
150 Pine Forest Dr Ste 703
Shenandoah, TX 77384-5317
Mailing address
150 Pine Forest Dr Ste 703
Shenandoah, TX 77384-5317
Phone (281) 795-3386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
150 Pine Forest Dr
Ste 703
The Woodlands, TX 77384
Phone (281) 939-5915
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Conroe, TX
- NPI 1861402810
-
- Family Nurse Practitioner
- Shenandoah, TX
- NPI 1033539952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1790366714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PINE FOREST DR STE 703",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773845317",
"telephone_number": "281-795-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PINE FOREST DR STE 703",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773845317",
"telephone_number": "281-939-5915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLANDS VEIN CENTER & PREVENTATIVE MEDICINE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-20",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "BANERJEE",
"authorized_official_first_name": "ARINDAM",
"authorized_official_middle_name": "MOHON",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "281-795-3386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.