Organization Active NPI

Hospitalists of the Woodlands

  • Specialist
  • Conroe, TX
National Provider Identifier
1891215307
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J6047 Issued in TX
Legal business name
HOSPITALISTS OF THE WOODLANDS
Practice address
4015 I 45 N Ste 310
Conroe, TX 77304-5077
Phone
(936) 520-8983
Fax
(936) 463-6508
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Dr. Michael J Walls, MD
Title
Owner
Phone
(936) 520-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J6047 TX Primary

Addresses

Primary practice location

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

Mailing address

4015 I 45 N Ste 310
Conroe, TX 77304-5077
Phone (936) 520-8983

Other identifiers 1

IdentifierTypeStateIssuer
102913404MedicaidTX

National Provider Directory

National Provider Directory

Locations

4015 Interstate 45 N
Ste 220
Conroe, TX 77304
Phone (936) 441-1122

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1891215307",
    "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": "HOSPITALISTS OF THE WOODLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-520-8983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J6047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102913404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.