Precision Wound Care Services, LLC

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

PRECISION WOUND CARE SERVICES, LLC

Practice address

10617 Winding Passage Way
Fort Worth, TX 76131-3991

Phone

(817) 501-2214

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Victor M Granados, RN, CHT

Title

President/Registered Agent

Phone

(817) 501-2214

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1285047969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10617 WINDING PASSAGE WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313991",
            "telephone_number": "817-501-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10617 WINDING PASSAGE WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313991",
            "telephone_number": "817-501-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION WOUND CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/REGISTERED AGENT",
        "authorized_official_telephone_number": "817-501-2214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, CHT"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility Supplies (DME) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nursing Facility Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.