MEDICARE: WOODFOREST RESTORATION AND WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1790595213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODFOREST RESTORATION AND WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	126 SUGAR PINE CT
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77316-2472
Country	:	US
Telephone Number	:	318-792-3864
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 SUGAR PINE CT
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77316-2472
Country	:	US
Telephone Number	:	318-792-3864
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND NURSE PRACTITIONER
Name	:	LINDSAY ROSS
Credential	:	FNP-C
Telephone Number	:	318-792-3864

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	12/19/2025

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