Organization Active NPI

Advanced Wound Therapy-TX, PLLC

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1639066533
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANCED WOUND THERAPY-TX, PLLC
Practice address
4722 Taft Blvd Ste 4
Wichita Falls, TX 76308-4800
Phone
(918) 592-9020
NPI assigned
Jun 23, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Darwin Griffeth, DC
Title
Coo
Phone
(918) 592-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4722 Taft Blvd Ste 4
Wichita Falls, TX 76308-4800

Mailing address

2488 E 81St St Ste 2000
Tulsa, OK 74137-4224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251231003665 TX Part B Supplier - Clinic/Group Practice 7618463399 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

4722 Taft Blvd
Ste 4
Wichita Falls, TX 76308
Phone (940) 234-1265

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1639066533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 2000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 TAFT BLVD STE 4",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084800",
            "telephone_number": "918-592-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND THERAPY-TX, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFETH",
        "authorized_official_first_name": "DARWIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "918-592-9020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.