| Blc Wound Care PLLC | |
|
400 W Lyndon B Johnson Fwy Ste 130 Irving TX 75063-3700 | |
| (972) 990-5222 | |
| (972) 990-3900 |
| Full Name | Blc Wound Care PLLC |
|---|---|
| Speciality | Preventive Medicine |
| Location | 400 W Lyndon B Johnson Fwy Ste 130, Irving, Texas |
| Authorized Official Name and Position | Brad Taylor Landrum (OWNER) |
| Authorized Official Contact | 8177930513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blc Wound Care PLLC 9819 Edgecove Dr Dallas TX 75238-1535 Ph: (817) 793-0513 | Blc Wound Care PLLC 400 W Lyndon B Johnson Fwy Ste 130 Irving TX 75063-3700 Ph: (972) 990-5222 |
| NPI Number | 1508500638 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Medicare PECOS PAC ID | 8729465109 |
|---|---|
| Medicare Enrollment ID | O20220525000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508500638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | (NU) | Primary |
| Provider Name | Brad Landrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356870620 PECOS PAC ID: 2567886997 Enrollment ID: I20210810003721 |
Sunil Mathews, MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7701 Las Colinas Rdg Ste 260, Irving, TX 75063 Phone: 972-869-3448 Fax: 972-459-7729 |
Irving Eyecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 708 N Macarthur Blvd, Irving, TX 75061 Phone: 972-254-0033 Fax: 972-254-0055 |
Reliant Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Lane St, Suite # 300, Irving, TX 75061 Phone: 817-808-3443 Fax: 817-887-5522 |
Knee and Vein Vascular Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9947 N Macarthur Blvd # 150, Irving, TX 75063 Phone: 304-207-8329 |
Your Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1141 Kinwest Pkwy, Suite 100, Irving, TX 75063 Phone: 214-239-2222 Fax: 214-239-2223 |
Evernorth Care Providers - Delaware PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Decker Dr, Irving, TX 75062 Phone: 773-292-4800 Fax: 312-564-4059 |