Organization Active NPI

Medicus Wound Care PLLC

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1194536243
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICUS WOUND CARE PLLC
Practice address
5625 Cypress Creek Pkwy Ste 504
Houston, TX 77069-4212
Phone
(888) 711-6114
Fax
(888) 711-6114
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Ryan Noel Larroza, MSN, RN
Title
Ceo
Phone
(773) 946-6068

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

5625 Cypress Creek Pkwy Ste 504
Houston, TX 77069-4212

Mailing address

5625 Cypress Creek Pkwy Ste 504
Houston, TX 77069-4212
Phone (888) 711-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325003559 TX Part B Supplier - Clinic/Group Practice 9931622446 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX; Irving, TX

National Provider Directory

National Provider Directory

Locations

4201 Cypress Creek Pkwy
Ste 456
Houston, TX 77068

5625 FM 1960 Rd W
Ste 504
Houston, TX 77069
Phone (281) 525-6020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1194536243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 CYPRESS CREEK PKWY STE 504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694212",
            "telephone_number": "888-711-6114",
            "fax_number": "888-711-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 CYPRESS CREEK PKWY STE 504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694212",
            "telephone_number": "888-711-6114",
            "fax_number": "888-711-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "LARROZA",
        "authorized_official_first_name": "RYAN NOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-946-6068",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.