| Wound100 Texas LLC | |
|
7700 Cody Ln Apt 2918 Sachse TX 75048-6688 | |
| (214) 422-8172 | |
| Not Available |
| Full Name | Wound100 Texas LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 7700 Cody Ln Apt 2918, Sachse, Texas |
| Authorized Official Name and Position | Chris Fisher (CEO) |
| Authorized Official Contact | 9184170878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound100 Texas LLC 17414 Washington St Omaha NE 68135-3202 Ph: (402) 651-6040 | Wound100 Texas LLC 7700 Cody Ln Apt 2918 Sachse TX 75048-6688 Ph: (214) 422-8172 |
| NPI Number | 1164309910 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 09/05/2025 |
| Certification Date | 09/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164309910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 261Q00000X | Clinic/center | () | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | () | Secondary |
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