Wound Treatment Centers of South Texas PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H9885 Issued in TX

Legal business name

WOUND TREATMENT CENTERS OF SOUTH TEXAS PA

Practice address

414 Navarro St
Suite 502
San Antonio, TX 78205-2516

Phone

(210) 223-1145

Fax

(210) 615-7619

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By 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

Dr. Duane A Dietz, M.D.

Title

President and Medical Director

Phone

(210) 732-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Teresa Leah Quebedeaux-Farnham, DPM

  • Podiatrist
  • Seguin, TX
  • NPI 1649224791
  NPD (past)
• Earl George Wolf, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Sam Houston, TX
  • NPI 1538135884
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902943996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "SUITE 266S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-732-7030",
            "fax_number": "210-732-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-223-1145",
            "fax_number": "210-615-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND TREATMENT CENTERS OF SOUTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-732-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H9885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP IDENTIFIER",
            "identifier": "0019MW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wound Care and Limb Salvage Specialty Group
• Wound Healing Partners PLLC
• Wound Professional Services of San Antonio
• Wound Professional Services of San Antonio
• Wound Professional Services of San Antonio PA
• Woundcare Solutions and Hyperbarics, LLC
• Woww Express Transportation LLC
• Carol E Wratten, M.D.
• Lana Marie Wren, LMFT
• Heather Wrench, LAT, ATC, CES

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.