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NPI Code Detail

MEDICARE: UNITED WOUND & VASCULAR INSTITUTE TEXAS PLLC

MEDICARE: UNITED WOUND & VASCULAR INSTITUTE TEXAS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician
2207Q00000XFamily Medicine Physician
3207R00000XInternal Medicine Physician
4208M00000XHospitalist Physician

General Provider Information

NPI Number : 1184482309
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED WOUND & VASCULAR INSTITUTE TEXAS PLLC
Provider Business Mailing Address
First Line : PO BOX 7412525
Second Line :
City : CHICAGO
State : IL
Zip : 60674-2525
Country : US
Telephone Number : 248-607-0037
Fax Number : 734-462-0344
Provider Business Practice Location Address
First Line : 4500 MERCANTILE PLAZA DR STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4206
Country : US
Telephone Number : 888-402-0202
Fax Number : 888-860-2960
Authorized Official
Title or Position : DIRECTOR OF RCM
Name : KIMBERLY MILLER
Credential :
Telephone Number : 248-331-7908
Provider Enumeration Date : 03/12/2024
Last Update Date : 03/19/2026

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Directions to “UNITED WOUND & VASCULAR INSTITUTE TEXAS PLLC ” Practice Location

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