| Total Wound Care Of Texas Llc | |
|
2150 S Central Expy Ste 200 Mckinney TX 75070-4000 | |
| (405) 246-0810 | |
| (405) 546-5801 |
| Full Name | Total Wound Care Of Texas Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2150 S Central Expy Ste 200, Mckinney, Texas |
| Authorized Official Name and Position | Tad Burgess (OWNER/ CEO) |
| Authorized Official Contact | 4056596993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wound Care Of Texas Llc 1900 Nw Expressway Ste 800 Oklahoma City OK 73118-1804 Ph: (405) 659-6993 | Total Wound Care Of Texas Llc 2150 S Central Expy Ste 200 Mckinney TX 75070-4000 Ph: (405) 246-0810 |
| NPI Number | 1225741937 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 0648644138 |
|---|---|
| Medicare Enrollment ID | O20230323003223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225741937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura S Gilmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295764108 PECOS PAC ID: 8022011899 Enrollment ID: I20100823000880 |
| Provider Name | Tina R Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821413501 PECOS PAC ID: 6103149356 Enrollment ID: I20160520001048 |
| Provider Name | Tara Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801378641 PECOS PAC ID: 5395190177 Enrollment ID: I20231013002442 |
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