Kidney Specialists of the Woodlands and Conroe

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KIDNEY SPECIALISTS OF THE WOODLANDS AND CONROE

Practice address

4015 I 45 N Ste 310
Conroe, TX 77304-5077

Phone

(936) 520-8983

Fax

(936) 463-6508

NPI assigned

Apr 16, 2018

Last updated

Oct 1, 2020By 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

Dr. Michael James Walls, M.D.NPI 1679579791

Title

President

Phone

(936) 520-8983

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.

• Michael James Walls, M.D.

  • Specialist
  • Conroe, TX
  • NPI 1679579791
  NPD Authorized official

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1811484801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 I 45 N STE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045077",
            "telephone_number": "936-520-8983",
            "fax_number": "936-463-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 I 45 N STE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045077",
            "telephone_number": "936-520-8983",
            "fax_number": "936-463-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALISTS OF THE WOODLANDS AND CONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-520-8983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanokporn Khongnawang
• Fatima Sayyad Khuram
• Omar Munawwer Khurshid
• Kid Potential, Inc.
• Kidney Care Institute PLLC
• Segie Kieffer, MOT
• Barry Quentin Kienholz, M.A.
• Kijiji Advocacy Organization
• Angela Kim, MD
• Kind Counseling Services

• Internal Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.