Active NPI
North Texas Mobile Wound Care, LLC
- Nurse Practitioner
- Grand Prairie, TX
National Provider Identifier
1023815214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- NORTH TEXAS MOBILE WOUND CARE, LLC
- Practice address
- 2952 Montalbo
Grand Prairie, TX 75054-6506 - Phone
- (817) 915-6053
- NPI assigned
- Feb 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dematria Holbrook, DNP, APRN, FNP-C
- Title
- Ceo/ Founder
- Phone
- (817) 915-6053
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
2952 Montalbo
Grand Prairie, TX 75054-6506
Mailing address
2952 Montalbo
Grand Prairie, TX 75054-6506
Phone (817) 915-6053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Arlington, TX
- NPI 1053669010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1023815214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2952 MONTALBO",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750546506",
"telephone_number": "817-915-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2952 MONTALBO",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750546506",
"telephone_number": "817-915-6053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH TEXAS MOBILE WOUND CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "HOLBROOK",
"authorized_official_first_name": "DEMATRIA",
"authorized_official_title_or_position": "CEO/ FOUNDER",
"authorized_official_telephone_number": "817-915-6053",
"authorized_official_credential": "DNP, APRN, FNP-C"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.