Provider Demographics
NPI:1265273403
Name:WOUND CARE MEDICS LLC
Entity type:Organization
Organization Name:WOUND CARE MEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALINSUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-726-3097
Mailing Address - Street 1:105 DECKER CT STE LL110
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2767
Mailing Address - Country:US
Mailing Address - Phone:214-764-9197
Mailing Address - Fax:214-764-7915
Practice Address - Street 1:105 DECKER CT STE LL110
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2767
Practice Address - Country:US
Practice Address - Phone:214-764-9197
Practice Address - Fax:214-764-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty