| Genesis Wound Care Services | |
|
5201 Winterberry Ct. Ft.worth TX 76244 | |
| (817) 875-0224 | |
| (817) 431-5296 |
| Full Name | Genesis Wound Care Services |
|---|---|
| Speciality | General Practice |
| Location | 5201 Winterberry Ct., Ft.worth, Texas |
| Authorized Official Name and Position | Frederick D Acuna (BUSINESS MGR.) |
| Authorized Official Contact | 8178750224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Wound Care Services 5201 Winterberrry Court Ft. Worth TX 76244 Ph: (817) 875-0224 | Genesis Wound Care Services 5201 Winterberry Ct. Ft.worth TX 76244 Ph: (817) 875-0224 |
| NPI Number | 1730334103 |
|---|---|
| Provider Enumeration Date | 11/26/2008 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730334103 | NPI | - | NPPES |
| 0025SA | Other | TX | BLUE CROSS BLUE SHIELD OF TX |
| 202419201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |