=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821907353
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOUTHWEST TEXAS ADVANCED WOUND CARE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2026
-----------------------------------------------------
Last Update Date | 09/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 766 MARINES RD
-----------------------------------------------------
City | QUEMADO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78877-7768
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 830-352-1097
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 766 MARINES RD
-----------------------------------------------------
City | QUEMADO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78877-7768
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 830-352-1097
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | FRANCISCO LOPEZ
-----------------------------------------------------
Credential | AGACNP
-----------------------------------------------------
Telephone | 830-352-1097
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------