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General NPI Number Information
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NPI Number | 1407566375
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Entity Type | Organization
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Legal Business Name | SELECT WOUND CARE PLLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 5373 W ALABAMA ST STE 400 STE 418
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City | HOUSTON
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State | TX
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Zip | 77056-5923
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Country | US
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Telephone | 210-607-8056
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Fax | 346-998-1855
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Provider Business Mailing Address
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Address Line | 5373 W ALABAMA ST STE 400
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City | HOUSTON
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State | TX
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Zip | 77056-5923
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Country | US
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Telephone | 210-607-8056
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Fax | 346-998-1855
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Authorized Official
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Title or Position | MANAGER
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Name | IAN O'JON
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Credential |
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Telephone | 281-337-3806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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