Advantage Surgical and Wound Care Texas PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ADVANTAGE SURGICAL AND WOUND CARE TEXAS PA

Practice address

4900 E Berry St
Fort Worth, TX 76105-4314

Phone

(877) 878-3289

Fax

(877) 817-3227

NPI assigned

Dec 27, 2021

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Uri Gedalia, MD

Title

President

Phone

(713) 885-5885

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1023778420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 1420",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455648",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 E BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761054314",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE SURGICAL AND WOUND CARE TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "GEDALIA",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-885-5885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.