| Woodlands Wound Physicians, Pa | |
|
17450 St Lukes Way Ste. 350 The Woodlands TX 77384-8044 | |
| (936) 266-2150 | |
| (936) 266-8527 |
| Full Name | Woodlands Wound Physicians, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 17450 St Lukes Way, The Woodlands, Texas |
| Authorized Official Name and Position | Caroline Esther Fife (PRESIDENT) |
| Authorized Official Contact | 8006037896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands Wound Physicians, Pa 2700 Research Forest Dr Ste. 100 The Woodlands TX 77381-4252 Ph: (800) 603-7896 | Woodlands Wound Physicians, Pa 17450 St Lukes Way Ste. 350 The Woodlands TX 77384-8044 Ph: (936) 266-2150 |
| NPI Number | 1043562770 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 12/04/2015 |
| Medicare PECOS PAC ID | 6305091869 |
|---|---|
| Medicare Enrollment ID | O20130307000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043562770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G8104 (Texas) | Primary |
| Provider Name | Caroline E Fife |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1669490215 PECOS PAC ID: 2567648090 Enrollment ID: I20110518000672 |
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