Provider Demographics
NPI:1013933605
Name:LYMPHEDEMA & WOUND CARE CONSULTANTS OF AMERICA, INC.
Entity type:Organization
Organization Name:LYMPHEDEMA & WOUND CARE CONSULTANTS OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-338-2590
Mailing Address - Street 1:PO BOX 58598
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8598
Mailing Address - Country:US
Mailing Address - Phone:281-338-2590
Mailing Address - Fax:281-338-2594
Practice Address - Street 1:16888 HIGHWAY 3
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-2112
Practice Address - Country:US
Practice Address - Phone:281-338-2590
Practice Address - Fax:281-338-2594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0083862332B00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1013933605OtherNPI
TXDE3913OtherMEDICARE RAILROAD
TX0057MYOtherBLUE CROSS BLUE SHIELD
TX8L13479OtherMCR PTAN-MOOSA
TXTXB160448OtherMCR PTAN-STREITMANN
TX1265420053OtherNPI-REILLY NIVERS
TX1386624450OtherNPI-STREITMANN
TX00666ZOtherMCR-GROUP PTAN
TX1588874473OtherNPI - NEIGHBORS
TX1982709010OtherNPI - ADOLF
TX275757AR1KOtherMCR PTAN- REILLY NIVERS
TX1871555052OtherNPI-MOOSA