Healthcare Provider Details

I. General information

NPI: 1770415457
Provider Name (Legal Business Name): MSC WOUND CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 HIGHWAY 71 E STE 208
BASTROP TX
78602-5157
US

IV. Provider business mailing address

3101 HIGHWAY 71 E STE 208
BASTROP TX
78602-5157
US

V. Phone/Fax

Practice location:
  • Phone: 512-412-6120
  • Fax: 512-412-6125
Mailing address:
  • Phone: 512-412-6120
  • Fax: 512-412-6125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J CHANEY
Title or Position: OWNER AND MEDICAL DOCTOR
Credential: MD
Phone: 512-412-6120