Wound Care & Research Center of North Texas PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J9128 Issued in TX

Legal business name

WOUND CARE & RESEARCH CENTER OF NORTH TEXAS PLLC

Doing business as

DFW Wound Care Center
Lewisville Wound Care Center

Practice address

502 N Valley Pkwy Ste 1
Lewisville, TX 75067-3437

Phone

(972) 316-0902

Fax

(972) 316-1161

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jalil Aziz Khan, M.D.

Title

Manging Member

Phone

(972) 316-0902

Specialties & licenses 2

Addresses

Other names 2

• DFW Wound Care Center Doing business as
• Lewisville Wound Care Center Doing business as

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1922511898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N VALLEY PKWY STE 1",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-316-0902",
            "fax_number": "972-316-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N VALLEY PKWY STE 1",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-316-0902",
            "fax_number": "972-316-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE & RESEARCH CENTER OF NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JALIL",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "MANGING MEMBER",
        "authorized_official_telephone_number": "972-316-0902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9128",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lewisville Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Woori Pharmacy LLC
• Alayna L Worsham, RN
• Michael Wray, D.O.
• Dianna Wright, M.S., LPC
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• Barbara Ruth Yasso, PNP
• Bhavani Yedulapuram, O.D.

• Internal Medicine Physician in Lewisville, TX
• Providers in Lewisville, 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 Dec 21, 2017; 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.