Active NPI
Wellness Wound Providers LLC
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1851008072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WELLNESS WOUND PROVIDERS LLC
- Practice address
- 2724 Yale St
Houston, TX 77008-2120 - Phone
- (832) 706-0460
- NPI assigned
- Oct 28, 2022
- 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
- Pete Beausoleil
- Title
- Director
- Phone
- (832) 291-7532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2724 Yale St
Houston, TX 77008-2120
Mailing address
2724 Yale St
Houston, TX 77008-2120
Phone (832) 706-0460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1700171014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742256000000",
"number": "1851008072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 YALE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770082120",
"telephone_number": "832-706-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2724 YALE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770082120",
"telephone_number": "832-706-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS WOUND PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-28",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A",
"authorized_official_last_name": "BEAUSOLEIL",
"authorized_official_first_name": "PETE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "832-291-7532"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.