| Wound Solutions Of Texas Llc | |
|
13988 Diplomat Dr Ste 100c Farmers Branch TX 75234-8807 | |
| (214) 422-8172 | |
| Not Available |
| Full Name | Wound Solutions Of Texas Llc |
|---|---|
| Speciality | General Practice |
| Location | 13988 Diplomat Dr Ste 100c, Farmers Branch, Texas |
| Authorized Official Name and Position | Isaac Kevin 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 |
|---|---|
| Wound Solutions Of Texas Llc 1169 N Burleson Blvd Ste 107 #302 Burleson TX 76028-8458 Ph: (214) 422-8172 | Wound Solutions Of Texas Llc 13988 Diplomat Dr Ste 100c Farmers Branch TX 75234-8807 Ph: (214) 422-8172 |
| NPI Number | 1245931401 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 04/06/2023 |
| Medicare PECOS PAC ID | 7416313655 |
|---|---|
| Medicare Enrollment ID | O20230515000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245931401 | 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 | Sonceria Lena Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316273808 PECOS PAC ID: 3072652577 Enrollment ID: I20091123000097 |
| Provider Name | Stuart E Riggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669813341 PECOS PAC ID: 3779727078 Enrollment ID: I20170203000568 |
| Provider Name | Miriam Amaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780148650 PECOS PAC ID: 4587905146 Enrollment ID: I20190408002467 |
| Provider Name | Christina Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881166940 PECOS PAC ID: 7113343872 Enrollment ID: I20200812003135 |
| Provider Name | Nickole T Saulsberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669998910 PECOS PAC ID: 2769749134 Enrollment ID: I20201216000621 |
| Provider Name | Anh Kim Dinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255796629 PECOS PAC ID: 0143358119 Enrollment ID: I20201221001230 |
| Provider Name | Sheila M Msengi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871263517 PECOS PAC ID: 4789062522 Enrollment ID: I20220607000469 |
| Provider Name | Daphne R Jones-black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638980 PECOS PAC ID: 8921473315 Enrollment ID: I20230510002578 |
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