Provider Demographics
NPI:1144992017
Name:TEXAS WSS HOLDING CORP.
Entity type:Organization
Organization Name:TEXAS WSS HOLDING CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-722-5577
Mailing Address - Street 1:1140 WESTMONT DR STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-4364
Mailing Address - Country:US
Mailing Address - Phone:832-572-5577
Mailing Address - Fax:832-572-5588
Practice Address - Street 1:1140 WESTMONT DR STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4364
Practice Address - Country:US
Practice Address - Phone:832-572-5577
Practice Address - Fax:832-572-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty