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General NPI Number Information
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NPI Number | 1639031180
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Entity Type | Organization
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Legal Business Name | WOUND CARE MEDICAL GROUP TEXAS PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 316 PECAN ST
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City | BLANCO
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State | TX
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Zip | 78606-2607
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Country | US
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Telephone | 737-703-8191
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Fax | 512-243-6916
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Provider Business Mailing Address
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Address Line | 701 S CAPITAL OF TEXAS HWY STE D420
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5986
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Country | US
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Telephone | 737-703-8191
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Fax | 512-243-6916
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Authorized Official
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Title or Position | SOLE OWNER/AUTHORIZED OFFICIAL/M.D.
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Name | DR. JODY HARPER
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Credential | MD
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Telephone | 737-703-8191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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