Active NPI
Mercy Advanced Wound Care of Central Texas PLLC
- Family Medicine Physician
- Taylor, TX
National Provider Identifier
1972499374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.