Healthcare Provider Details

I. General information

NPI: 1972438844
Provider Name (Legal Business Name): ICARE FAMILY & WOUND CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 PROFESSIONAL PARK DR # 9C
WEBSTER TX
77598-4142
US

IV. Provider business mailing address

9 PROFESSIONAL PARK DR # 9C
WEBSTER TX
77598-4142
US

V. Phone/Fax

Practice location:
  • Phone: 832-284-7083
  • Fax: 281-525-4123
Mailing address:
  • Phone: 832-284-7083
  • Fax: 281-525-4123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LA TOSHA N HOLMES
Title or Position: CO-OWNER
Credential: APRN
Phone: 832-301-1856