MEDICARE: WOUND CARE MEDICS LLC

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1265273403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUND CARE MEDICS LLC

Provider Business Mailing Address
First Line	:	105 DECKER CT STE LL110
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-2767
Country	:	US
Telephone Number	:	214-764-9197
Fax Number	:	214-764-7915

Provider Business Practice Location Address
First Line	:	105 DECKER CT STE LL110
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-2767
Country	:	US
Telephone Number	:	214-764-9197
Fax Number	:	214-764-7915

Authorized Official
Title or Position	:	OWNER
Name	:	SHIRLEEN GALINSUGA
Credential	:
Telephone Number	:	817-726-3097

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	06/03/2024

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Directions to “WOUND CARE MEDICS LLC ” Practice Location

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