| Vascular & Wound Llc | |
|
1120 Medical Plaza Dr Ste 100 Shenandoah TX 77380-3211 | |
| (210) 416-7443 | |
| Not Available |
| Full Name | Vascular & Wound Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1120 Medical Plaza Dr Ste 100, Shenandoah, Texas |
| Authorized Official Name and Position | Donald C Frame (PRESIDENT) |
| Authorized Official Contact | 2104167443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vascular & Wound Llc 2257 N Loop 336 W Ste 140 Conroe TX 77304-3566 Ph: (210) 416-7443 | Vascular & Wound Llc 1120 Medical Plaza Dr Ste 100 Shenandoah TX 77380-3211 Ph: (210) 416-7443 |
| NPI Number | 1447001607 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 4981046018 |
|---|---|
| Medicare Enrollment ID | O20240521003344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447001607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald C Frame |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518978121 PECOS PAC ID: 1153397856 Enrollment ID: I20040907000635 |
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