MEDICARE: WOUND CARE DIRECT, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1720963234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUND CARE DIRECT, INC

Provider Business Mailing Address
First Line	:	2921 LACKLAND RD STE 101
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-4173
Country	:	US
Telephone Number	:	940-452-4190
Fax Number	:

Provider Business Practice Location Address
First Line	:	2921 LACKLAND RD STE 101
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-4173
Country	:	US
Telephone Number	:	940-452-4190
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GARRETT ADAMS
Credential	:
Telephone Number	:	714-585-5456

Provider Enumeration Date	:	08/06/2025
Last Update Date	:	01/13/2026

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