Dfw Wound Management Pllc
LBN: Dfw Wound Management Pllc
Dfw Wound Management Pllc is an health care organization with primary practice located at 17051 Dallas Pkwy Ste 250 , Addison TX 75001-7121. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Dfw Wound Management Pllc can be contacted via phone (972) 685-7330, or through Payseur, Shannon B via phone (469) 277-2701.
Contact Information
Primary practice address
17051 Dallas Pkwy Ste 250
Addison TX 75001-7121
Phone: (972) 685-7330
Fax: (469) 666-1084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | M0858 | Texas |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X |
Profile Details
| NPI number | 1952538076 |
|---|---|
| LBN Legal business name | Dfw Wound Management Pllc |
| DBA Doing business as | |
| Authorized official | Payseur, Shannon B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2009 |
| Last updated | Nov 11th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952538076 | NPPES |
| Texas | Other | 12529264 | CAQH PROVIDER # |
| Texas | MEDICAID | 218958101 | CAQH PROVIDER # |
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