Organization Active NPI

Texas Wound Pros LLC

  • Foot & Ankle Surgery Podiatrist
  • Plano, TX
National Provider Identifier
1215587977
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TEXAS WOUND PROS LLC
Practice address
4601 Old Shepard PL Ste 302
Plano, TX 75093-5279
Phone
(469) 606-0010
Fax
(949) 404-8632
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Hope Jacoby, DPMNPI 1336523455
Title
Ceo/Owner
Phone
(904) 252-7808

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

4601 Old Shepard PL Ste 302
Plano, TX 75093-5279

Mailing address

4601 Old Shepard PL Ste 302
Plano, TX 75093-5279
Phone (469) 606-0100

Other practice location 1

4351 Booth Calloway Rd Ste 201
North Richland Hills, TX 76180-7379
Phone (469) 606-0010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.texaswoundpros.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191031002688 TX Part B Supplier - Clinic/Group Practice 8527390145 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX; North Richland Hills, TX

National Provider Directory

National Provider Directory

Locations

4351 Booth Calloway Rd
Ste 201
North Richlnd Hls, TX 76180
Phone (469) 606-0010

4601 Old Shepard Pl
Ste 302
Plano, TX 75093
Phone (469) 606-0010

1003 Legacy Ranch Rd
Ste 2
Waxahachie, TX 75165
Phone (469) 606-0010

1003 Legacy Ranch Rd
Ste 202
Waxahachie, TX 75165
Phone (469) 606-0010

Practitioners & affiliated clinicians

Practitioners 1

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": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1215587977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL STE 302",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "469-606-0100",
            "fax_number": "949-404-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL STE 302",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "469-606-0010",
            "fax_number": "949-404-8632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 Booth Calloway Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761807379",
            "country_code": "US",
            "telephone_number": "469-606-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS WOUND PROS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "904-252-7808",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.texaswoundpros.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1705 Ohio Dr Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 17, 2021; 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.