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NPI Code Detail

MEDICARE: A1 WOUND SPECIALISTS, LLC

MEDICARE: A1 WOUND SPECIALISTS, 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
2363L00000XNurse Practitioner

General Provider Information

NPI Number : 1558213736
Entity Type Code : Organization
Provider Name (Legal Business Name) : A1 WOUND SPECIALISTS, LLC
Provider Business Mailing Address
First Line : 11035 LAVENDER HILL DR
Second Line : SUITE 160-473
City : LAS VEGAS
State : NV
Zip : 89135
Country : US
Telephone Number : 702-204-1584
Fax Number : 702-602-9010
Provider Business Practice Location Address
First Line : 11035 LAVENDER HILL DR
Second Line : SUITE 160-473
City : LAS VEGAS
State : NV
Zip : 89135
Country : US
Telephone Number : 702-757-5105
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. DAVID MARK GOMEZ
Credential :
Telephone Number : 702-757-5105
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “A1 WOUND SPECIALISTS, LLC ” Practice Location

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