Provider Demographics
NPI:1952141921
Name:ALLEN WOUND CARE LLC
Entity type:Organization
Organization Name:ALLEN WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAIRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:BALOCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-636-0147
Mailing Address - Street 1:401 CENTURY PKWY
Mailing Address - Street 2:# 56
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-0002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1105 CENTRAL EXPY N STE 2210
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6124
Practice Address - Country:US
Practice Address - Phone:972-747-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty