Organization Active NPI

Srdo Advanced Wound Care Associates

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1932939824
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SRDO ADVANCED WOUND CARE ASSOCIATES
Practice address
4310 Buena Vista St Apt 34
Dallas, TX 75205-4473
Phone
(979) 525-1010
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dr. Steven William Roberts, DONPI 1255865226
Title
Cmo
Phone
(979) 525-1010

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4310 Buena Vista St Apt 34
Dallas, TX 75205-4473

Mailing address

4310 Buena Vista St Apt 34
Dallas, TX 75205-4473
Phone (979) 525-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240909002545 TX Part B Supplier - Clinic/Group Practice 6002356789 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

2412 College Hills Blvd
Ste 218
San Angelo, TX 76904
Phone (325) 944-3211

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1932939824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 BUENA VISTA ST APT 34",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054473",
            "telephone_number": "979-525-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 BUENA VISTA ST APT 34",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054473",
            "telephone_number": "979-525-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRDO ADVANCED WOUND CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "979-525-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.