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NPI Code Detail

MEDICARE: NEXUS WOUND CONSULTANTS LLC

MEDICARE: NEXUS WOUND CONSULTANTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1104698588
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXUS WOUND CONSULTANTS LLC
Provider Business Mailing Address
First Line : 12703 SPECTRUM DR STE 102
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-3444
Country : US
Telephone Number : 830-285-8882
Fax Number :
Provider Business Practice Location Address
First Line : 4701 COX RD STE 285
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-6808
Country : US
Telephone Number : 830-285-8882
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : CHRISTINE GOOD
Credential :
Telephone Number : 830-343-0669
Provider Enumeration Date : 10/27/2023
Last Update Date : 07/16/2025

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Directions to “NEXUS WOUND CONSULTANTS LLC ” Practice Location

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