Organization Active NPI

Wound Care Medics LLC

  • Nurse Practitioner
  • Irving, TX
National Provider Identifier
1265273403
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WOUND CARE MEDICS LLC
Practice address
105 Decker CT Ste Ll110
Irving, TX 75062-2767
Phone
(214) 764-9197
Fax
(214) 764-7915
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Shirleen Galinsuga
Title
Owner
Phone
(817) 726-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

105 Decker CT Ste Ll110
Irving, TX 75062-2767

Mailing address

105 Decker CT Ste Ll110
Irving, TX 75062-2767
Phone (214) 764-9197

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730001765 TX Part B Supplier - Clinic/Group Practice 8426595273 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

1301 S Bowen Rd
Ste LL140
Arlington, TX 76013
Phone (214) 764-9197

105 Decker Ct
Ste LL110
Irving, TX 75062
Phone (214) 764-9197

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": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1265273403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DECKER CT STE LL110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622767",
            "telephone_number": "214-764-9197",
            "fax_number": "214-764-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DECKER CT STE LL110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622767",
            "telephone_number": "214-764-9197",
            "fax_number": "214-764-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE MEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "GALINSUGA",
        "authorized_official_first_name": "SHIRLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-726-3097"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.