Provider Demographics
NPI:1760873442
Name:WOUND CARE MANAGEMENT AND CONSULTANTS OF SOUTH TEXAS, LLC
Entity Type:Organization
Organization Name:WOUND CARE MANAGEMENT AND CONSULTANTS OF SOUTH TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/WOUND CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:LVN, CWCA, CLT
Authorized Official - Phone:956-534-1954
Mailing Address - Street 1:1103 N RAUL LONGORIA RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3600
Mailing Address - Country:US
Mailing Address - Phone:956-227-8787
Mailing Address - Fax:956-783-7368
Practice Address - Street 1:1103 N RAUL LONGORIA RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3600
Practice Address - Country:US
Practice Address - Phone:956-227-8787
Practice Address - Fax:956-783-7368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health