Provider Demographics
NPI:1487083259
Name:PHYSICIANS OF THE WOODLANDS PLLC
Entity type:Organization
Organization Name:PHYSICIANS OF THE WOODLANDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KOZHAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKHON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-258-9906
Mailing Address - Street 1:1125 CYPRESS STATION DR
Mailing Address - Street 2:STE A3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3054
Mailing Address - Country:US
Mailing Address - Phone:281-533-5333
Mailing Address - Fax:281-719-5849
Practice Address - Street 1:25329 INTERSTATE 45 N
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3438
Practice Address - Country:US
Practice Address - Phone:855-258-9906
Practice Address - Fax:281-533-5335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty