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NPI Code Detail

MEDICARE: PERSONIC WOUNDCARE PLLC

MEDICARE: PERSONIC WOUNDCARE PLLC
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
1163WW0000XWound Care Registered Nurse

General Provider Information

NPI Number : 1396432662
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERSONIC WOUNDCARE PLLC
Provider Business Mailing Address
First Line : PO BOX 8209
Second Line :
City : VIENNA
State : VA
Zip : 22183-2058
Country : US
Telephone Number : 251-901-3011
Fax Number : 888-557-9724
Provider Business Practice Location Address
First Line : 1452 HUGHES RD STE 200
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-9221
Country : US
Telephone Number : 251-901-3011
Fax Number : 888-557-9724
Authorized Official
Title or Position : AUTHORIZED MEMBER
Name : SYED NAQVI
Credential :
Telephone Number : 251-901-3011
Provider Enumeration Date : 04/18/2023
Last Update Date : 05/14/2026

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Directions to “PERSONIC WOUNDCARE PLLC ” Practice Location

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