Genesis Wound Care Services | |
5201 Winterberry Ct. Ft.worth TX 76244 | |
(817) 875-0224 | |
(817) 431-5296 |
Full Name | Genesis Wound Care Services |
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Speciality | General Practice |
Location | 5201 Winterberry Ct., Ft.worth, Texas |
Authorized Official Name and Position | Frederick D Acuna (BUSINESS MGR.) |
Authorized Official Contact | 8178750224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Genesis Wound Care Services 5201 Winterberrry Court Ft. Worth TX 76244 Ph: (817) 875-0224 | Genesis Wound Care Services 5201 Winterberry Ct. Ft.worth TX 76244 Ph: (817) 875-0224 |
NPI Number | 1730334103 |
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Provider Enumeration Date | 11/26/2008 |
Last Update Date | 12/12/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730334103 | NPI | - | NPPES |
0025SA | Other | TX | BLUE CROSS BLUE SHIELD OF TX |
202419201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |