| Woodlands I-45 Medical Center Pllc | |
|
29801 Interstate 45 Suite 101 The Woodlands TX 77381-1196 | |
| (281) 362-9100 | |
| (281) 292-1404 |
| Full Name | Woodlands I-45 Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 29801 Interstate 45, The Woodlands, Texas |
| Authorized Official Name and Position | Walter Kane (PRESIDENT./PHYSICIAN) |
| Authorized Official Contact | 7133021377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands I-45 Medical Center Pllc 29801 Interstate 45 Suite 101 The Woodlands TX 77381-1196 Ph: (281) 362-9100 | Woodlands I-45 Medical Center Pllc 29801 Interstate 45 Suite 101 The Woodlands TX 77381-1196 Ph: (281) 362-9100 |
| NPI Number | 1669709556 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669709556 | NPI | - | NPPES |
| 2097487 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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