Healthcare Provider Details

I. General information

NPI: 1912453473
Provider Name (Legal Business Name): WOODLANDS FAMILY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4185 TECHNOLOGY FOREST BLVD STE 210
THE WOODLANDS TX
77381-2005
US

IV. Provider business mailing address

4185 TECHNOLOGY FOREST BLVD STE 210
THE WOODLANDS TX
77381-2005
US

V. Phone/Fax

Practice location:
  • Phone: 936-447-9483
  • Fax: 936-447-9410
Mailing address:
  • Phone: 936-447-9483
  • Fax: 936-447-9410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRENT ALLMON
Title or Position: MEMBER
Credential: M.D.
Phone: 832-229-7427