Huntsville Wound Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HUNTSVILLE WOUND CARE PLLC

Doing business as

Full Spectrum Wound Care Alliance

Practice address

100 Medical Center Pkwy Ste 100
Huntsville, TX 77340-4959

Phone

(936) 295-1777

Fax

(936) 295-3680

NPI assigned

Nov 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence Wells, MDNPI 1497753206

Title

Doctor

Phone

(936) 966-8181

Specialties & licenses 1

Addresses

Other names 1

• Full Spectrum Wound Care Alliance Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence H Wells, MD

  • Family Medicine Physician
  • Huntsville, TX
  • NPI 1497753206
  Medicare reassignment NPD Authorized official
• Jeffrey Leon Pruski, D.C.

  • Chiropractor
  • Huntsville, TX
  • NPI 1801996020

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1851114136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PKWY STE 100",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404959",
            "fax_number": "936-295-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PKWY STE 100",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404959",
            "telephone_number": "936-295-1777",
            "fax_number": "936-295-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "936-966-8181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Spectrum Wound Care Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Huntsville Sleep DME
• Huntsville Smiles
• Huntsville Surgical Partners, LLC
• Huntsville Urgent Care, LLC
• Huntsville Womens Center, LP
• HV Wound Care Center
• Katherine Prichard Hyde, O.D.
• Premswarup Joel Immaraj, M.D.
• Infinite Vision, PLLC
• Interdiscipliinary Pain Management

• Internal Medicine Physician in Huntsville, TX
• Providers in Huntsville, 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 Nov 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.

Verify at the official NPI Registry.