North Texas Premier Wound Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH TEXAS PREMIER WOUND CARE LLC

Practice address

6305 Westfield Dr
Mesquite, TX 75181-0025

Phone

(972) 697-8580

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Carlos Gongora

Title

Manager

Phone

(972) 697-8580

Specialties & licenses 1

Addresses

Practitioners 1

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

• Julio Cesar Olivieri Jr., M.D.

  • Internal Medicine Physician
  • Mesquite, TX
  • NPI 1881605780
  NPD

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1952117863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 WESTFIELD DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751810025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 WESTFIELD DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751810025",
            "telephone_number": "972-697-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS PREMIER WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "GONGORA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-697-8580"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Texas Behavioral Services
• North Texas Emergency Physicians
• North Texas Family Clinic PA
• North Texas Home Visiting Physicians & Clinic
• North Texas Neurological Associates
• North Texas Team Care Surgery Center LLC
• North Texas Vascular Center PA
• Notes 2 Go
• NRT Laboratories, LLC (NRT Laboratories)
• Felix M Ntah

• Internal Medicine Physician in Mesquite, TX
• Providers in Mesquite, 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 5, 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.