MEDICARE: MEDICUS WOUND CARE PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WW0000X	Wound Care Registered Nurse
2	363L00000X	Nurse Practitioner
3	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1194536243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICUS WOUND CARE PLLC

Provider Business Mailing Address
First Line	:	5625 CYPRESS CREEK PKWY STE 504
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4212
Country	:	US
Telephone Number	:	888-711-6114
Fax Number	:	888-711-6114

Provider Business Practice Location Address
First Line	:	5625 CYPRESS CREEK PKWY STE 504
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4212
Country	:	US
Telephone Number	:	888-711-6114
Fax Number	:	888-711-6114

Authorized Official
Title or Position	:	CEO
Name	:	RYAN NOEL LARROZA
Credential	:	MSN, RN
Telephone Number	:	773-946-6068

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	03/10/2025

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Directions to “MEDICUS WOUND CARE PLLC ” Practice Location

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