| Capital Advanced Wound Care Pllc | |
|
2011 Fm 102 Rd Wharton TX 77488-8833 | |
| (979) 282-6151 | |
| (800) 559-8401 |
| Full Name | Capital Advanced Wound Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2011 Fm 102 Rd, Wharton, Texas |
| Authorized Official Name and Position | Salman Aly (AUTHORIZED OWNER) |
| Authorized Official Contact | 2817039990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Advanced Wound Care Pllc Po Box 16639 Sugar Land TX 77496-6639 Ph: (979) 282-6151 | Capital Advanced Wound Care Pllc 2011 Fm 102 Rd Wharton TX 77488-8833 Ph: (979) 282-6151 |
| NPI Number | 1801371349 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 9335493675 |
|---|---|
| Medicare Enrollment ID | O20181126002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801371349 | NPI | - | NPPES |
| 394865501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| Provider Name | Sarfraz Aly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972766327 PECOS PAC ID: 3274688387 Enrollment ID: I20100524000811 |
| Provider Name | Salman Aly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326287715 PECOS PAC ID: 4284789389 Enrollment ID: I20100610001023 |
| Provider Name | Victoria Ann Hedquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588980692 PECOS PAC ID: 0840544094 Enrollment ID: I20181107001044 |
| Provider Name | Charles W Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811498959 PECOS PAC ID: 6901139229 Enrollment ID: I20190531000410 |
Mehop Wharton Primary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Regional Medical Dr Ste 1315, Wharton, TX 77488 Phone: 979-245-2008 Fax: 979-314-7164 | |
Fort Bend Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 N Richmond Rd, Wharton, TX 77488 Phone: 979-532-8755 | |
Mehop Wharton Health 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488 Phone: 979-245-2008 | |
South Texas Medical Clinics, P.a. Epsdt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Regional Medical Dr, Wharton, TX 77488 Phone: 979-532-1700 | |
Mehop Wharton Health 3 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 Phone: 979-245-2008 | |
Regent Adult And Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Valhalla Dr, Wharton, TX 77488 Phone: 979-532-2000 Fax: 979-532-2008 | |
El Campo Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 Phone: 979-543-5510 |