| North Texas Wound Innovations Llc | |
|
7214 Highway 78 Ste 33 Sachse TX 75048-2503 | |
| (212) 422-8172 | |
| (855) 486-4726 |
| Full Name | North Texas Wound Innovations Llc |
|---|---|
| Speciality | General Practice |
| Location | 7214 Highway 78 Ste 33, Sachse, Texas |
| Authorized Official Name and Position | Isaac K Brooks (OWNER) |
| Authorized Official Contact | 2144228172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Wound Innovations Llc 7214 Highway 78 Ste 33 Sachse TX 75048-2503 Ph: (212) 422-8172 | North Texas Wound Innovations Llc 7214 Highway 78 Ste 33 Sachse TX 75048-2503 Ph: (212) 422-8172 |
| NPI Number | 1538912167 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 5092156216 |
|---|---|
| Medicare Enrollment ID | O20240517002819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538912167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kimberly Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841239738 PECOS PAC ID: 5698765204 Enrollment ID: I20040515000194 |
| Provider Name | Deitra F Lebouef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508153438 PECOS PAC ID: 6507038411 Enrollment ID: I20111018000431 |
| Provider Name | Melissa F Constancio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295216554 PECOS PAC ID: 8921338641 Enrollment ID: I20190924000395 |
| Provider Name | Dov Taber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609390533 PECOS PAC ID: 3870853344 Enrollment ID: I20240518000652 |
American Eagle Physician House Call Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6515 Briar Lake Trl, Sachse, TX 75048 Phone: 496-544-3556 Fax: 972-442-3391 | |
Mission East Dallas And Metroplex Project, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 President George Bush Hwy, Sachse, TX 75048 Phone: 972-682-8917 | |
Walk In Care Clinics Of Texas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 N State Hwy 78, Suite 500, Sachse, TX 75048 Phone: 469-992-9572 Fax: 469-969-0103 |