Organization Active NPI

Mercy Advanced Wound Care of Central Texas PLLC

  • Family Medicine Physician
  • Taylor, TX
National Provider Identifier
1972499374
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY ADVANCED WOUND CARE OF CENTRAL TEXAS PLLC
Practice address
2004 Old Granger Unit 2
Taylor, TX 76574-3568
Phone
(832) 367-2411
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Katherine R Hicks, FNP
Title
Owner
Phone
(832) 367-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2004 Old Granger Unit 2
Taylor, TX 76574-3568

Mailing address

6214 Brasada LN
Temple, TX 76502-7990
Phone (832) 367-2411

National Provider Directory

National Provider Directory

Locations

2004 Old Granger
Unit 2
Taylor, TX 76574
Phone (832) 367-2411

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1972499374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 BRASADA LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027990",
            "telephone_number": "832-367-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 OLD GRANGER UNIT 2",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765743568",
            "telephone_number": "832-367-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ADVANCED WOUND CARE OF CENTRAL TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-367-2411",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.