Healthcare Provider Details

I. General information

NPI: 1386221356
Provider Name (Legal Business Name): WOUND CARE & PHYSICAL THERAPY CENTER OF THE WOODLANDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25503 OAKHURST DR STE 100
SPRING TX
77386-1439
US

IV. Provider business mailing address

25503 OAKHURST DR STE 100
SPRING TX
77386-1439
US

V. Phone/Fax

Practice location:
  • Phone: 832-696-2455
  • Fax: 936-632-9425
Mailing address:
  • Phone: 832-696-2455
  • Fax: 936-632-9425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSE V DE BOND
Title or Position: MEMBER
Credential: DM
Phone: 832-696-2455