WOODLANDS DIAGNOSTIC CLINIC, PA


Address: 9201 Pinecroft Dr Ste 200, Shenandoah, TX 77380-3889
Phone: 2818639554

WOODLANDS DIAGNOSTIC CLINIC, PA (NPI# 1336753508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336753508
Entity Type Organization
Organization Name WOODLANDS DIAGNOSTIC CLINIC, PA
Practice Address 9201 Pinecroft Dr Ste 200
Shenandoah
TX 77380-3889
Practice Telephone 2818639554
Mailing Telephone 2818639554
Enumeration Date 2020-09-03
Last Update Date 2020-11-04
Authorized Official Name MRS. STEPHANIE ANN GOWER (MANAGER)
Authorized Official Telephone 2818639554
Authorized Official Credential RHIA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 9201 PINECROFT DR STE 200
City SHENANDOAH
State TX
Zip Code 77380-3889

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NPI Name Taxonomy Address Enumeration
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1104309350 Kristina Nicole Zills Psychologist 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 2018-09-13
1972094365 Southern Texas Allergy The Woodlands Allergy & Immunology 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 2018-05-22
1609373992 Joy Adaku Ekwueme Nurse Practitioner Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 2018-04-12
1821517103 Catalyst Medical Suites, LLC Clinic/Center 1544 Sawdust Rd Ste 280, Spring, TX 77380 2017-09-18
1114440898 Elanor Sung Massage Therapist 26103 I 45, Ste 102, The Woodlands, TX 77380 2017-07-25
1043732555 Chinyere Obiakwata Nurse Practitioner 201 Pruitt Rd Apt 430, Spring, TX 77380 2017-07-17
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720686496 Hill Country Health Pllc Family Medicine 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 2020-10-14
1174139471 Stacie Leann Herring Family Medicine 1300 Tx-107, La Villa, TX 78562 2020-09-22
1932738465 Arlington Integrative Medicine LLC Family Medicine 1420 N Cooper St Ste 109, Arlington, TX 76011-8530 2020-04-06
1396379772 Heights Total Wellness Clinic, Pllc Family Medicine 1801 Durham Dr Ste 4, Houston, TX 77007-2272 2020-02-25
1063043271 Katie Lianne Jubala Family Medicine 129 Park Place Cir, Iowa Park, TX 76367-1064 2020-01-28
1558909879 Forrest Duane Giles Family Medicine 152 Mcvoid Rd, Springtown, TX 76082-5929 2019-12-17
1710525225 Mary Osawe Family Medicine 1308 Winecup Ct, Allen, TX 75002-0983 2019-12-16
1609411735 Sara E Bellard Family Medicine 4735 Ridgewood Ave, Port Arthur, TX 77642-6612 2019-11-13
1528600574 Shearren Johnson Family Medicine 2162 Us Highway 259 S, Diana, TX 75640-3510 2019-10-10
1518508191 Elisabeth Blank Family Medicine 6633 E Hwy 290 Ste 300, Austin, TX 78723-1158 2019-10-04
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Competitor

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City SHENANDOAH
Zip Code 77380

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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