Active NPI
Athera Wound Care PLLC
- Physician Assistant
- Dallas, TX
National Provider Identifier
1265338412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- ATHERA WOUND CARE PLLC
- Practice address
- 5502 Denton Drive Cut Off Apt 1305
Dallas, TX 75235-7337 - Phone
- (903) 504-4587
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- 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
- Timothy Boyd Roberson, PA-C
- Title
- Physician Assistant
- Phone
- (903) 504-4587
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5502 Denton Drive Cut Off Apt 1305
Dallas, TX 75235-7337
Mailing address
5502 Denton Drive Cut Off Apt 1305
Dallas, TX 75235-7337
Phone (903) 504-4587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1265338412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5502 DENTON DRIVE CUT OFF APT 1305",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357337",
"telephone_number": "903-504-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5502 DENTON DRIVE CUT OFF APT 1305",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357337",
"telephone_number": "903-504-4587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHERA WOUND CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "ROBERSON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "903-504-4587",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.