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General NPI Number Information
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NPI Number | 1487362851
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Entity Type | Organization
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Legal Business Name | TEXAS WOUND CARE SPECIALISTS LLC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 6200 W PARKER RD
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City | PLANO
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State | TX
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Zip | 75093-8185
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Country | US
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Telephone | 253-223-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 4 SAVANNAH CIR
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City | FRISCO
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State | TX
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Zip | 75034-6835
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Country | US
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Telephone | 253-223-9333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAHEELA SADIQ
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Credential | MD
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Telephone | 253-223-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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