| La Ideal Wound Inc | |
|
201 Victory Blvd Suite 287 Monroe TX 71203 | |
| (877) 969-6863 | |
| Not Available |
| Full Name | La Ideal Wound Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 201 Victory Blvd, Monroe, Texas |
| Authorized Official Name and Position | Traci Piersanti (OPERATIONS MANAGER) |
| Authorized Official Contact | 8779696863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Ideal Wound Inc 1810 8th Ave Ste A101 Fort Worth TX 76110-1352 Ph: (877) 969-6863 | La Ideal Wound Inc 201 Victory Blvd Suite 287 Monroe TX 71203 Ph: (877) 969-6863 |
| NPI Number | 1720964349 |
|---|---|
| Provider Enumeration Date | 08/12/2025 |
| Last Update Date | 08/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720964349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |