Organization Active NPI

Wound Professional Services of Houston

  • General Practice Physician
  • The Woodlands, TX
National Provider Identifier
1891936266
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G8104 Issued in TX
Legal business name
WOUND PROFESSIONAL SERVICES OF HOUSTON
Practice address
25000 Pitkin Rd
Suite 280
The Woodlands, TX 77386-2467
Phone
(713) 301-5707
Fax
(713) 295-2863
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Caroline E Fife, MD
Title
Senior Partner
Phone
(713) 301-5707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G8104 TX Primary

Addresses

Primary practice location

25000 Pitkin Rd
Suite 280
The Woodlands, TX 77386-2467

Mailing address

25000 Pitkin Rd
Suite 280
The Woodlands, TX 77386-2467
Phone (713) 301-5707

Other identifiers 1

IdentifierTypeStateIssuer
125858404MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Wound Professional Services of Houston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25000 Pitkin Rd
Ste 280
The Woodlands, TX 77386
Phone (713) 301-5707

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1891936266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 PITKIN RD",
            "address_2": "SUITE 280",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773862467",
            "telephone_number": "713-301-5707",
            "fax_number": "713-295-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 PITKIN RD",
            "address_2": "SUITE 280",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773862467",
            "telephone_number": "713-301-5707",
            "fax_number": "713-295-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PROFESSIONAL SERVICES OF HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "713-301-5707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G8104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125858404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.