Healthcare Provider Details

I. General information

NPI: 1447027917
Provider Name (Legal Business Name): OMI TEAM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20639 KUYKENDAHL RD STE 300
SPRING TX
77379-3587
US

IV. Provider business mailing address

20639 KUYKENDAHL RD STE 300
SPRING TX
77379-3587
US

V. Phone/Fax

Practice location:
  • Phone: 281-364-1122
  • Fax: 281-210-3450
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM HAYES
Title or Position: OWNER
Credential: MD
Phone: 281-364-1122