| Advanced Wound Care Of North Texas Pllc | |
|
13154 Coit Rd Ste 102d Dallas TX 75240-5787 | |
| (956) 332-3809 | |
| Not Available |
| Full Name | Advanced Wound Care Of North Texas Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13154 Coit Rd Ste 102d, Dallas, Texas |
| Authorized Official Name and Position | Shahida Rafiq (OWNER) |
| Authorized Official Contact | 9563323809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Care Of North Texas Pllc 13154 Coit Rd Ste 102d Dallas TX 75240-5787 Ph: (956) 332-3809 | Advanced Wound Care Of North Texas Pllc 13154 Coit Rd Ste 102d Dallas TX 75240-5787 Ph: (956) 332-3809 |
| NPI Number | 1366908600 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 02/12/2019 |
| Medicare PECOS PAC ID | 7315276599 |
|---|---|
| Medicare Enrollment ID | O20190913000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366908600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shahida Rafiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134165988 PECOS PAC ID: 4587577002 Enrollment ID: I20031118000076 |
| Provider Name | Kimberly Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841239738 PECOS PAC ID: 5698765204 Enrollment ID: I20040515000194 |
| Provider Name | Tsedey Tadesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164572392 PECOS PAC ID: 7810028891 Enrollment ID: I20100708000866 |
| Provider Name | Shauntorya Trychelle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104296615 PECOS PAC ID: 6800190125 Enrollment ID: I20160208000910 |
| Provider Name | Hei Nam C Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447608872 PECOS PAC ID: 5193005692 Enrollment ID: I20161129000698 |
| Provider Name | Kimberley M Windisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467452938 PECOS PAC ID: 5294902193 Enrollment ID: I20180117001534 |
| Provider Name | Stacey Ann Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922513407 PECOS PAC ID: 9436411949 Enrollment ID: I20180321002287 |
| Provider Name | Gideon I Ahanonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336623446 PECOS PAC ID: 3678813359 Enrollment ID: I20190315000371 |
| Provider Name | Janet Marie Tetteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811452204 PECOS PAC ID: 4082708979 Enrollment ID: I20190424000235 |
| Provider Name | Leslie Lynn Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538626338 PECOS PAC ID: 6608108931 Enrollment ID: I20191105003149 |
| Provider Name | Caroline C Kibore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497306385 PECOS PAC ID: 2961834064 Enrollment ID: I20191111002550 |
| Provider Name | Ginu E Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043842818 PECOS PAC ID: 4486083912 Enrollment ID: I20200406000312 |
| Provider Name | Charles Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679110332 PECOS PAC ID: 8426470097 Enrollment ID: I20200629000640 |
| Provider Name | Jennifer R Tappin-addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629026646 PECOS PAC ID: 8426477076 Enrollment ID: I20200930002579 |
| Provider Name | Christen Ashley Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467043208 PECOS PAC ID: 1951710854 Enrollment ID: I20210505002148 |
| Provider Name | Nirmala Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235717307 PECOS PAC ID: 6709289952 Enrollment ID: I20210923001614 |
| Provider Name | Larie Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750052858 PECOS PAC ID: 6901298421 Enrollment ID: I20220113000727 |
| Provider Name | Jennifer Congdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811546237 PECOS PAC ID: 8426427022 Enrollment ID: I20221202001448 |
| Provider Name | Mofoluwasho Adenekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407460207 PECOS PAC ID: 0244642627 Enrollment ID: I20230509003176 |
| Provider Name | Alyson Clegg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518618578 PECOS PAC ID: 8921493743 Enrollment ID: I20240106000971 |
| Provider Name | Crystal Balderas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639878929 PECOS PAC ID: 4284070749 Enrollment ID: I20240307001053 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |