| Texas Wound Care Med Llc | |
|
1387 George Dieter Dr Ste D105 El Paso TX 79936-7410 | |
| (512) 994-7700 | |
| (915) 218-6518 |
| Full Name | Texas Wound Care Med Llc |
|---|---|
| Speciality | General Practice |
| Location | 1387 George Dieter Dr Ste D105, El Paso, Texas |
| Authorized Official Name and Position | Joanna Pena (DIRECTOR) |
| Authorized Official Contact | 5129947700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Wound Care Med Llc 6090 Surety Dr Ste 420 El Paso TX 79905-2057 Ph: (915) 303-9215 | Texas Wound Care Med Llc 1387 George Dieter Dr Ste D105 El Paso TX 79936-7410 Ph: (512) 994-7700 |
| NPI Number | 1700643533 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 6002257052 |
|---|---|
| Medicare Enrollment ID | O20240508003501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700643533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Daniel Varela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477084176 PECOS PAC ID: 0547672065 Enrollment ID: I20201207001837 |
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