Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Woodlands Functional Medicine Specialist PLLC

Organization Pain Medicine Physician · NPI 1609587864

Woodlands Functional Medicine Specialist PLLC is a Pain Medicine Physician in The Woodlands, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10857 Kuykendahl Rd Ste 110
The Woodlands, TX 77382-2936
Phone: (346) 220-8063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1609587864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Nash — Owner · (346) 220-8063
NPI enumeratedDecember 8, 2022
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address6 N Fazio Way, Spring, TX 77389-2701

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