| North Texas Premier Wound Care Llc | |
|
6305 Westfield Dr Mesquite TX 75181-0025 | |
| (972) 697-8580 | |
| Not Available |
| Full Name | North Texas Premier Wound Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6305 Westfield Dr, Mesquite, Texas |
| Authorized Official Name and Position | Carlos Gongora (MANAGER) |
| Authorized Official Contact | 9726978580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Premier Wound Care Llc 6305 Westfield Dr Mesquite TX 75181-0025 Ph: () - | North Texas Premier Wound Care Llc 6305 Westfield Dr Mesquite TX 75181-0025 Ph: (972) 697-8580 |
| NPI Number | 1952117863 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Medicare PECOS PAC ID | 8426588468 |
|---|---|
| Medicare Enrollment ID | O20250206001467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952117863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Julio C Olivieri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881605780 PECOS PAC ID: 4587667555 Enrollment ID: I20060811000089 |
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