MEDICARE: WOODLANDS SELECT INFUSION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	246ZE0500X	EEG Specialist/Technologist
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
3	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1568846269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLANDS SELECT INFUSION LLC

Provider Business Mailing Address
First Line	:	PO BOX 132287
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77393-2287
Country	:	US
Telephone Number	:	832-812-8280
Fax Number	:	800-500-2344

Provider Business Practice Location Address
First Line	:	114 VISION PARK BLVD STE 102
Second Line	:
City	:	SHENANDOAH
State	:	TX
Zip	:	77384-3008
Country	:	US
Telephone Number	:	281-305-0983
Fax Number	:	888-883-9901

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	STEVE ROPHAIL
Credential	:
Telephone Number	:	713-679-4487

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	07/21/2022

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Directions to “WOODLANDS SELECT INFUSION LLC ” Practice Location

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