Organization
MEMORIAL WOUND CARE AND INFUSION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH COLLINS (CEO)
(281) 206-7806
Entity
Organization
Contact information
Practice address
439 MASON PARK BLVD STE A, KATY, TX 77450-6242
(281) 206-7806
Mailing address
439 MASON PARK BLVD STE A, KATY, TX 77450-6242
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
04/18/2020
Last updated
04/18/2020
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