Healthcare Provider Details

I. General information

NPI: 1265055818
Provider Name (Legal Business Name): WOODLANDS INTEGRATED HEALTHCARE SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 05/18/2020
Certification Date: 05/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 RESEARCH FOREST DR STE 150
THE WOODLANDS TX
77381-4395
US

IV. Provider business mailing address

13236 N 7TH STREET SUITE 4 #289
PHOENIX AZ
85022
US

V. Phone/Fax

Practice location:
  • Phone: 832-871-4609
  • Fax:
Mailing address:
  • Phone: 314-378-5422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS EMILY HELLING
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 314-378-5422