MEDICARE: PRODIGY WOUND & SPECIALTY CARE CONSULTING 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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1184561516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRODIGY WOUND & SPECIALTY CARE CONSULTING LLC

Provider Business Mailing Address
First Line	:	1710 KELLER PKWY # 5301
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-3749
Country	:	US
Telephone Number	:	346-268-7979
Fax Number	:	346-707-3858

Provider Business Practice Location Address
First Line	:	8303 SOUTHWEST FWY STE 810
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1622
Country	:	US
Telephone Number	:	346-268-7978
Fax Number	:	346-707-3858

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMAKA JOYCE AKINADE
Credential	:	FNP-C, CWON-AP
Telephone Number	:	346-268-7979

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/08/2026

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