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General NPI Number Information
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NPI Number | 1285526855
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Entity Type | Organization
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Legal Business Name | TEXAS REGENERATIVE WOUND CENTER PLLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3304 W WADLEY AVE UNIT 7645
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City | MIDLAND
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State | TX
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Zip | 79707-5700
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Country | US
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Telephone | 432-557-2548
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7645
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City | MIDLAND
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State | TX
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Zip | 79708-7645
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD/OWNER
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Name | RICKEY HAMBY
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Credential | MD
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Telephone | 432-557-2548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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