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General NPI Number Information
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NPI Number | 1194697755
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Entity Type | Organization
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Legal Business Name | WOUND PHARM, PLLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6420 LA PAZ RANCH RD
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-7287
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Country | US
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Telephone | 972-903-4343
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Fax | 972-903-4343
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Provider Business Mailing Address
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Address Line | 6420 LA PAZ RANCH RD
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-7287
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Country | US
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Telephone | 972-903-4343
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Fax | 972-903-4343
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY NEELY
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Credential | NP
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Telephone | 972-903-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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