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NPI Code Detail

MEDICARE: MOBILE WOUND CARE LLC

MEDICARE: MOBILE WOUND CARE 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
1208600000XSurgery Physician
2363L00000XNurse Practitioner
3207Q00000XFamily Medicine Physician
4163WW0000XWound Care Registered Nurse
5207RI0011XInterventional Cardiology Physician
6207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1992502421
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE WOUND CARE LLC
Provider Business Mailing Address
First Line : 2424 SPRINGER DR STE 102
Second Line :
City : NORMAN
State : OK
Zip : 73069-3966
Country : US
Telephone Number : 405-216-3747
Fax Number : 405-339-0377
Provider Business Practice Location Address
First Line : 1800 TEAGUE DR STE 219
Second Line :
City : SHERMAN
State : TX
Zip : 75090-2640
Country : US
Telephone Number : 903-357-5320
Fax Number : 903-242-8750
Authorized Official
Title or Position : OWNER
Name : TERRY GRAY
Credential :
Telephone Number : 405-216-3747
Provider Enumeration Date : 03/03/2025
Last Update Date : 03/05/2026

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Directions to “MOBILE WOUND CARE LLC ” Practice Location

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