| Wound Recovery Llc | |
|
5924 W Parker Rd Ste 100 Plano TX 75093-6417 | |
| (972) 697-5954 | |
| Not Available |
| Full Name | Wound Recovery Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5924 W Parker Rd Ste 100, Plano, Texas |
| Authorized Official Name and Position | Deitra L Lebeouf (OWNER) |
| Authorized Official Contact | 9726975954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Recovery Llc 5924 W Parker Rd Ste 100 Plano TX 75093-6417 Ph: (972) 697-5954 | Wound Recovery Llc 5924 W Parker Rd Ste 100 Plano TX 75093-6417 Ph: (972) 697-5954 |
| NPI Number | 1073353512 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 04/09/2025 |
| Medicare PECOS PAC ID | 1153866058 |
|---|---|
| Medicare Enrollment ID | O20240716001721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073353512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Deitra F Lebouef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508153438 PECOS PAC ID: 6507038411 Enrollment ID: I20111018000431 |
| Provider Name | Tornado Top Luangraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780339465 PECOS PAC ID: 5890160089 Enrollment ID: I20230330002021 |
Jeffrey C. Komenda, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Suite 100, Plano, TX 75093 Phone: 972-608-1868 Fax: 972-943-8644 | |
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William R Sheldon, Jr., Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5930 W Parker Rd, #700, Plano, TX 75093 Phone: 972-943-7626 Fax: 972-608-5223 | |
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