| Texas Advanced Wound Care, Pllc | |
|
4001 W 15th St Suite 100 Plano TX 75093-5841 | |
| (214) 473-7671 | |
| (214) 473-7680 |
| Full Name | Texas Advanced Wound Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4001 W 15th St, Plano, Texas |
| Authorized Official Name and Position | Marie Thi Dinh (PROPRIETOR) |
| Authorized Official Contact | 2147299912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Advanced Wound Care, Pllc 3308 Preston Rd Suite 350, Pmb 133 Plano TX 75093-7453 Ph: () - | Texas Advanced Wound Care, Pllc 4001 W 15th St Suite 100 Plano TX 75093-5841 Ph: (214) 473-7671 |
| NPI Number | 1770805640 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770805640 | NPI | - | NPPES |
| TXB109820 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M6107 (Texas) | Primary |
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