Active NPI
Balance Wound Care TX, LLC
- Primary Care Nurse Practitioner
- El Paso, TX
National Provider Identifier
1861231300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- BALANCE WOUND CARE TX, LLC
- Doing business as
- Balance Wound Care TX, LLC
- Practice address
- 6320 Edgemere Blvd Ste 22
El Paso, TX 79925-3517 - Phone
- (915) 335-1977
- Fax
- (915) 591-2801
- NPI assigned
- May 23, 2024
- Last updated
- May 23, 2024
- 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
- Ana L Morado
- Title
- Owner
- Phone
- (915) 335-1977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
6320 Edgemere Blvd Ste 22
El Paso, TX 79925-3517
Mailing address
9564 Verbena Dr
El Paso, TX 79924-6226
Phone (915) 335-1977
Other names 1
- Balance Wound Care TX, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
309 Red Sun Dr
Ste 1E
Chaparral, NM 88081
Phone (915) 335-1977
Practitioners & affiliated clinicians
Practitioners 1
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": "1716422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1861231300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9564 VERBENA DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799246226",
"telephone_number": "915-335-1977",
"fax_number": "915-591-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 EDGEMERE BLVD STE 22",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253517",
"telephone_number": "915-335-1977",
"fax_number": "915-591-2801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE WOUND CARE TX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "MORADO",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-335-1977"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balance Wound Care TX, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.