| Woodforest Restoration And Wellness, Pllc | |
|
126 Sugar Pine Ct Montgomery TX 77316-2472 | |
| (318) 792-3864 | |
| Not Available |
| Full Name | Woodforest Restoration And Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 126 Sugar Pine Ct, Montgomery, Texas |
| Authorized Official Name and Position | Lindsay Ross (OWNER AND NURSE PRACTITIONER) |
| Authorized Official Contact | 3187923864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodforest Restoration And Wellness, Pllc 126 Sugar Pine Ct Montgomery TX 77316-2472 Ph: (318) 792-3864 | Woodforest Restoration And Wellness, Pllc 126 Sugar Pine Ct Montgomery TX 77316-2472 Ph: (318) 792-3864 |
| NPI Number | 1790595213 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 3779012349 |
|---|---|
| Medicare Enrollment ID | O20250128000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790595213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lindsay Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033639810 PECOS PAC ID: 0446519466 Enrollment ID: I20201214002198 |
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