WOUND CARE CENTER OF TEXAS, PLLC
NPI 1710780234
Internal Medicine in College Station, TX

Active since March 31, 2025CLIA 45D2325197 · Waiver
1512 HOLLEMAN DR, COLLEGE STATION, TX 77840(979) 426-4325(979) 810-0191 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Wound Care Center Of Texas, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOUND CARE CENTER OF TEXAS, PLLC (NPI 1710780234), doing business as Third River Health, is a healthcare organization registered as an internal medicine in College Station, Texas and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Johnny Myers, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1710780234
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWOUND CARE CENTER OF TEXAS, PLLC
Location Address1512 HOLLEMAN DRCollege Station, TX 77840-3297
Mailing AddressPo Box 10525College Station, TX 77842-0525 · (979) 426-4325 · Fax (979) 810-0191
Fax(979) 810-0191
Organization SubpartNo
Authorized OfficialJohnny MyersAuthorized Official · (678) 642-4894
Enumeration DateMarch 31, 2025
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1710780234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1512 HOLLEMAN DR, College Station, TX 77840

Other Names 1

Doing Business AsThird River Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wound Care Center Of Texas, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Wound Care Center Of Texas, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Emergency Medicine
NPI 1730144718
1512 HOLLEMAN DR
College Station, TX 77840
(979) 426-4325
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1174530513
1651 ROCK PRAIRIE RD STE 100
College Station, TX 77845
(979) 680-0361
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1932718186
3201 UNIVERSITY DR E STE 345
Bryan, TX 77802
(979) 776-2715
✔ PECOS✔ Accepts Medicare3.2 mi
Diagnostic Radiology
NPI 1508153685
427 W 20TH ST STE 300
Houston, TX 77008
(281) 710-0310
✔ PECOS✔ Accepts Medicare78 mi
Nurse Practitioner
NPI 1174122824
5200 HARRY HINES BLVD
Dallas, TX 75235
(469) 419-0365
✔ PECOS✔ Accepts Medicare155 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2325197

Wound Care Center Of Texas PLLC (dba Third River Health) · College Station, TX
Active · expires Jun 8, 2027
CLIA Number45D2325197
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorPaul Goen
Laboratory Phone(979) 426-4325
Laboratory LocationWound Care Center Of Texas PLLC (dba Third River Health)1512 Holleman Dr., College Station, TX 77840
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wound Care Center Of Texas, PLLC's NPI number?

The NPI number for Wound Care Center Of Texas, PLLC is 1710780234. It was assigned to this organization in the NPPES registry on March 31, 2025. The provider is doing business as Third River Health.

Where is Wound Care Center Of Texas, PLLC located?

Wound Care Center Of Texas, PLLC is located at 1512 Holleman Dr, College Station, TX 77840. The listed phone number is (979) 426-4325.

What is Wound Care Center Of Texas, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wound Care Center Of Texas, PLLC enrolled in Medicare?

Yes. Wound Care Center Of Texas, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wound Care Center Of Texas, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Wound Care Center Of Texas, PLLC, in Diagnostic Radiology, Emergency Medicine, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wound Care Center Of Texas, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2325197) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wound Care Center Of Texas, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Wound Care Center Of Texas, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wound Care Center Of Texas, PLLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.