Healthcare Provider Details

I. General information

NPI: 1013933605
Provider Name (Legal Business Name): LYMPHEDEMA & WOUND CARE CONSULTANTS OF AMERICA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16888 HIGHWAY 3
WEBSTER TX
77598-2112
US

IV. Provider business mailing address

PO BOX 58598
WEBSTER TX
77598-8598
US

V. Phone/Fax

Practice location:
  • Phone: 281-338-2590
  • Fax: 281-338-2594
Mailing address:
  • Phone: 281-338-2590
  • Fax: 281-338-2594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0083862
License Number StateTX

VIII. Authorized Official

Name: ERIN K HAMILTON
Title or Position: PRESIDENT, CEO
Credential:
Phone: 281-338-2590