| Elite Wound Care | |
|
1402 S Custer Rd Ste 704 Mckinney TX 75072-1453 | |
| (469) 915-5069 | |
| (469) 915-5069 |
| Full Name | Elite Wound Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1402 S Custer Rd Ste 704, Mckinney, Texas |
| Authorized Official Name and Position | Dustin Williams (OWNER) |
| Authorized Official Contact | 2148429830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Wound Care 1402 S Custer Rd Ste 704 Mckinney TX 75072-1453 Ph: (469) 915-5069 | Elite Wound Care 1402 S Custer Rd Ste 704 Mckinney TX 75072-1453 Ph: (469) 915-5069 |
| NPI Number | 1609639178 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 04/16/2025 |
| Certification Date | 04/16/2025 |
| Medicare PECOS PAC ID | 1153768981 |
|---|---|
| Medicare Enrollment ID | O20240328000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609639178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Meghann Bybee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982061974 PECOS PAC ID: 5698071249 Enrollment ID: I20160309000184 |
| Provider Name | Dustin Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700411667 PECOS PAC ID: 6406233634 Enrollment ID: I20220510000463 |
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