Provider Demographics
NPI:1851665277
Name:WOUND CARE PRACTITIONERS, LLC
Entity Type:Organization
Organization Name:WOUND CARE PRACTITIONERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, CPC
Authorized Official - Phone:214-732-3532
Mailing Address - Street 1:130 SPRINGFIELD LN
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-7129
Mailing Address - Country:US
Mailing Address - Phone:972-825-2575
Mailing Address - Fax:877-585-9989
Practice Address - Street 1:130 SPRINGFIELD LN
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-7129
Practice Address - Country:US
Practice Address - Phone:972-825-2575
Practice Address - Fax:877-585-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX715287282E00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP80380Medicare UPIN