| Wellness Wound Providers Llc | |
|
2724 Yale St Houston TX 77008-2120 | |
| (832) 706-0460 | |
| Not Available |
| Full Name | Wellness Wound Providers Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2724 Yale St, Houston, Texas |
| Authorized Official Name and Position | Luviza Santos (OWNER) |
| Authorized Official Contact | 8327060460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Wound Providers Llc 2724 Yale St Houston TX 77008-2120 Ph: (832) 706-0460 | Wellness Wound Providers Llc 2724 Yale St Houston TX 77008-2120 Ph: (832) 706-0460 |
| NPI Number | 1851008072 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 09/09/2024 |
| Medicare PECOS PAC ID | 9436527710 |
|---|---|
| Medicare Enrollment ID | O20221117000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851008072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luviza J Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003869827 PECOS PAC ID: 5799863429 Enrollment ID: I20101018000598 |
| Provider Name | Tricia L Punsalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003020504 PECOS PAC ID: 6800075201 Enrollment ID: I20110131000597 |
| Provider Name | Mohammad A Haque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609848266 PECOS PAC ID: 4789618422 Enrollment ID: I20120829000568 |
| Provider Name | Bonny Walter Ogar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700171014 PECOS PAC ID: 8527289644 Enrollment ID: I20141014002079 |
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