Provider Demographics
NPI:1780454124
Name:KINGWOOD HEALING HANDS WOUND CARE
Entity type:Organization
Organization Name:KINGWOOD HEALING HANDS WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:VALAIR
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:832-982-2234
Mailing Address - Street 1:855 ROCKMEAD DR STE 603
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2289
Mailing Address - Country:US
Mailing Address - Phone:832-982-2234
Mailing Address - Fax:877-495-4112
Practice Address - Street 1:855 ROCKMEAD DR STE 603
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2289
Practice Address - Country:US
Practice Address - Phone:832-982-2234
Practice Address - Fax:877-495-4112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty