Provider Demographics
NPI:1275142622
Name:WOUND CARE INSTITUTE OF TEXAS, PLLC
Entity Type:Organization
Organization Name:WOUND CARE INSTITUTE OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:COB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-495-8310
Mailing Address - Street 1:1401 E RIDGE RD STE C
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503
Mailing Address - Country:US
Mailing Address - Phone:956-317-4043
Mailing Address - Fax:956-800-4275
Practice Address - Street 1:2101 S M ST STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1590
Practice Address - Country:US
Practice Address - Phone:956-317-4044
Practice Address - Fax:956-800-4275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-30
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty