Texas Wound Care Med LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TEXAS WOUND CARE MED LLC

Practice address

1387 George Dieter Dr Ste D105
El Paso, TX 79936-7410

Phone

(512) 994-7700

Fax

(915) 218-6518

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Joanna Pena

Title

Director

Phone

(512) 994-7700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1700643533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 SURETY DR STE 420",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052057",
            "telephone_number": "915-303-9215",
            "fax_number": "915-218-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR STE D105",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "512-994-7700",
            "fax_number": "915-218-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS WOUND CARE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-994-7700"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Tech University, Health and Science Ceter (Paul L. Foster School of Medicine)
• Texas Tech Univesity Health Sciences
• Texas TMS and Family Psychiatry PLLC
• Texas Trauma Medical Group, PLLC
• Texas Urogynecology & Laser Surgery Center PA
• Texastech University Health Sciences Center
• Texastech University Health Sciences Center
• Texastech University Health Sciences Center
• Rasmey M Thach, DO
• Chinthana Thangavel, MD

• General Practice Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.