Provider Demographics
NPI:1386221356
Name:WOUND CARE & PHYSICAL THERAPY CENTER OF THE WOODLANDS PLLC
Entity Type:Organization
Organization Name:WOUND CARE & PHYSICAL THERAPY CENTER OF THE WOODLANDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:V
Authorized Official - Last Name:DE BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DM
Authorized Official - Phone:832-696-2455
Mailing Address - Street 1:25503 OAKHURST DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1439
Mailing Address - Country:US
Mailing Address - Phone:832-696-2455
Mailing Address - Fax:936-632-9425
Practice Address - Street 1:25503 OAKHURST DR STE 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1439
Practice Address - Country:US
Practice Address - Phone:832-696-2455
Practice Address - Fax:936-632-9425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Single Specialty