| Lymphedema & Wound Care Consultants Of America, Inc. | |
|
16888 Highway 3 Webster TX 77598-2112 | |
| (281) 338-2590 | |
| (281) 338-2594 |
| Full Name | Lymphedema & Wound Care Consultants Of America, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 16888 Highway 3, Webster, Texas |
| Authorized Official Name and Position | Erin K Hamilton (PRESIDENT, CEO) |
| Authorized Official Contact | 2813382590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lymphedema & Wound Care Consultants Of America, Inc. Po Box 58598 Webster TX 77598-8598 Ph: (281) 338-2590 | Lymphedema & Wound Care Consultants Of America, Inc. 16888 Highway 3 Webster TX 77598-2112 Ph: (281) 338-2590 |
| NPI Number | 1013933605 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/08/2022 |
| Medicare PECOS PAC ID | 2365469301 |
|---|---|
| Medicare Enrollment ID | O20051028000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013933605 | NPI | - | NPPES |
| 1013933605 | Other | TX | NPI |
| DE3913 | Other | TX | MEDICARE RAILROAD |
| 0057MY | Other | TX | BLUE CROSS BLUE SHIELD |
| 8L13479 | Other | TX | MCR PTAN-MOOSA |
| TXB160448 | Other | TX | MCR PTAN-STREITMANN |
| 1265420053 | Other | TX | NPI-REILLY NIVERS |
| 1386624450 | Other | TX | NPI-STREITMANN |
| 00666Z | Other | TX | MCR-GROUP PTAN |
| 1588874473 | Other | TX | NPI - NEIGHBORS |
| 1982709010 | Other | TX | NPI - ADOLF |
| 275757AR1K | Other | TX | MCR PTAN- REILLY NIVERS |
| 1871555052 | Other | TX | NPI-MOOSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0083862 (Texas) | Secondary |
| Provider Name | Rebecca J Reilly Nivers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265420053 PECOS PAC ID: 1456335108 Enrollment ID: I20040617001702 |
| Provider Name | Abdul R Moosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871555052 PECOS PAC ID: 5193893261 Enrollment ID: I20090602000636 |
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