Logos Wound Care Solutions TX LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LOGOS WOUND CARE SOLUTIONS TX LLC

Practice address

162 Colter Dr
Waxahachie, TX 75167-8113

Phone

(850) 814-8580

NPI assigned

Jul 11, 2025

Last updated

Oct 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Breanna N Waller

Title

Coo

Phone

(615) 723-2828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1568353217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 COLTER DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751678113",
            "telephone_number": "850-814-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 COLTER DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751678113",
            "telephone_number": "850-814-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOS WOUND CARE SOLUTIONS TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-723-2828"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Bear Homecare LLC (Visiting Angels)
• Living Miracles Houses, LLC
• Jim Otis Lloyd, DO, MPH
• LMR Pain & Lifestyle Management PLLC
• Tracy Ann Locke, LCSW
• Lonestar Hearing LLC
• Raquel Vega Longoria, MSN, APRN, FNP-BC
• Elizabeth Lopez
• Alisha Renay Lorren, PA-C
• Timothy R Lovelace, CRNA

• Internal Medicine Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.