Organization Active NPI

Wound Recovery LLC

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1073353512
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOUND RECOVERY LLC
Practice address
5924 W Parker Rd Ste 100
Plano, TX 75093-6417
Phone
(972) 697-5954
NPI assigned
May 31, 2024
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Deitra L Lebeouf, NP
Title
Owner
Phone
(972) 697-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5924 W Parker Rd Ste 100
Plano, TX 75093-6417

Mailing address

5924 W Parker Rd Ste 100
Plano, TX 75093-6417
Phone (972) 697-5954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1073353512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 W PARKER RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936417",
            "telephone_number": "972-697-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 W PARKER RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936417",
            "telephone_number": "972-697-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "LEBEOUF",
        "authorized_official_first_name": "DEITRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-697-5954",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.