| Elite Mobile Wound Care | |
|
13101 Preston Rd # 110648 Dallas TX 75240-5237 | |
| (512) 422-0633 | |
| (469) 802-0700 |
| Full Name | Elite Mobile Wound Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 13101 Preston Rd # 110648, Dallas, Texas |
| Authorized Official Name and Position | Jeffery Fritz (MANAGING MEMBER) |
| Authorized Official Contact | 5124220633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Mobile Wound Care 13101 Preston Rd # 110648 Dallas TX 75240-5237 Ph: (512) 422-0633 | Elite Mobile Wound Care 13101 Preston Rd # 110648 Dallas TX 75240-5237 Ph: (512) 422-0633 |
| NPI Number | 1932660636 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 05/04/2026 |
| Certification Date | 05/04/2026 |
| Medicare PECOS PAC ID | 7517343833 |
|---|---|
| Medicare Enrollment ID | O20221010002057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932660636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Michelle a Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083710685 PECOS PAC ID: 2668555772 Enrollment ID: I20080213000308 |
| Provider Name | Michael S Elrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356939334 PECOS PAC ID: 9739585233 Enrollment ID: I20210909000033 |
Perry K. Beckstrom, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 |
John A. Demopulos, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 |
North Dallas Orthopedics & Rehabilitation, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 |
Abounding Prosperity Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1705 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 214-421-4800 |
Premier Medical Services LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 |