Provider Demographics
NPI:1598878514
Name:WOUND CARE SERVICES, INC.
Entity Type:Organization
Organization Name:WOUND CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:JUDICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-879-6553
Mailing Address - Street 1:2117 N ASPENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-6943
Mailing Address - Country:US
Mailing Address - Phone:469-879-6553
Mailing Address - Fax:817-251-4988
Practice Address - Street 1:1510 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-8906
Practice Address - Country:US
Practice Address - Phone:214-483-3112
Practice Address - Fax:214-483-3848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies