DFW WOUND MANAGEMENT PLLC NPI 1952538076

NPI Information

NPI: 1952538076
Provider Name: DFW WOUND MANAGEMENT PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
17051 DALLAS PKWY STE 250
ADDISON, TX
ZIP 75001
Phone: (972) 685-7330
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DFW WOUND MANAGEMENT PLLC is a family medicine in Addison, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DFW WOUND MANAGEMENT PLLC NPI is 1952538076. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17051 DALLAS PKWY STE 250
ADDISON, TX
ZIP 75001-121
Phone: (972) 685-7330
Fax: (469) 666-1084

The provider's authorized official is Shannon B Payseur .
The authorized official title is Owner and has the following contact phone number (469) 277-2701.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 11/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	M0858	TEXAS	No
2	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine			No
3	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	218958101	MEDICAID	TEXAS
2	12529264	OTHER	TEXAS	CAQH PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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