| Woundtech Of Texas | |
|
12000 Huebner Rd Ste 104 San Antonio TX 78230-1209 | |
| (954) 923-7440 | |
| (954) 923-1299 |
| Full Name | Woundtech Of Texas |
|---|---|
| Speciality | General Practice |
| Location | 12000 Huebner Rd Ste 104, San Antonio, Texas |
| Authorized Official Name and Position | Minghsun Liu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9549237440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woundtech Of Texas 200 S Park Rd Ste 200 Hollywood FL 33021-8541 Ph: (954) 923-7440 | Woundtech Of Texas 12000 Huebner Rd Ste 104 San Antonio TX 78230-1209 Ph: (954) 923-7440 |
| NPI Number | 1336538925 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 5092034769 |
|---|---|
| Medicare Enrollment ID | O20150430000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336538925 | NPI | - | NPPES |
| 347598002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Hilary E Herasimchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194822973 PECOS PAC ID: 0143299305 Enrollment ID: I20040925000102 |
| Provider Name | Jonathan C Cheng |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487824769 PECOS PAC ID: 7214123660 Enrollment ID: I20101124000144 |
| Provider Name | David Payesteh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538369046 PECOS PAC ID: 3577735372 Enrollment ID: I20111019000840 |
| Provider Name | Nicole L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598172041 PECOS PAC ID: 3870803778 Enrollment ID: I20151105000310 |
| Provider Name | Adebimpe Blessing Ogunsefunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093269722 PECOS PAC ID: 8628366325 Enrollment ID: I20161012002691 |
| Provider Name | Rebecca K Longacre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437513421 PECOS PAC ID: 7214219062 Enrollment ID: I20171003004921 |
| Provider Name | Rohan Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881160505 PECOS PAC ID: 4688907330 Enrollment ID: I20190620003325 |
| Provider Name | Cypriana Anino Adekunbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336608660 PECOS PAC ID: 6103151667 Enrollment ID: I20190706000111 |
| Provider Name | Jazmine Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659755429 PECOS PAC ID: 4284942962 Enrollment ID: I20191226001288 |
| Provider Name | Barbara Lipsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255653150 PECOS PAC ID: 7517394539 Enrollment ID: I20200303001400 |
| Provider Name | Yasmin M Sharif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356728091 PECOS PAC ID: 3779904891 Enrollment ID: I20200528000797 |
| Provider Name | Lindarose Amuzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376028977 PECOS PAC ID: 3476975707 Enrollment ID: I20200615002787 |
| Provider Name | Jennifer R Tappin-addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629026646 PECOS PAC ID: 8426477076 Enrollment ID: I20200930002579 |
| Provider Name | Demia Houston Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908519 PECOS PAC ID: 4789097866 Enrollment ID: I20210113002743 |
| Provider Name | Kamilah Jewel Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417503624 PECOS PAC ID: 0749696854 Enrollment ID: I20210315001291 |
| Provider Name | Carolyn Elaine Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780228841 PECOS PAC ID: 9436586922 Enrollment ID: I20210623001473 |
| Provider Name | Lisa Carol Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548834476 PECOS PAC ID: 4082002571 Enrollment ID: I20211103000726 |
| Provider Name | Shelia Denise Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215484431 PECOS PAC ID: 5193112712 Enrollment ID: I20220429001630 |
| Provider Name | Madonia Oyanga Alymer-akahieobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346857901 PECOS PAC ID: 0143603928 Enrollment ID: I20220811000040 |
| Provider Name | Ama K Acheampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952938946 PECOS PAC ID: 2365825981 Enrollment ID: I20220815002893 |
| Provider Name | Justina Ikimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760982318 PECOS PAC ID: 6800162793 Enrollment ID: I20220921002633 |
| Provider Name | Elizabeth Desirie Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194445858 PECOS PAC ID: 8921483280 Enrollment ID: I20220922001806 |
| Provider Name | Juanita Nicole Golden-allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831686633 PECOS PAC ID: 7012268667 Enrollment ID: I20221003001206 |
| Provider Name | Michelle Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164474813 PECOS PAC ID: 2860405412 Enrollment ID: I20230221002941 |
| Provider Name | Cirilo Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043798358 PECOS PAC ID: 5890094999 Enrollment ID: I20230415000187 |
| Provider Name | Ifechukwudeny Bishop Okwuoyibo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952952160 PECOS PAC ID: 8527221068 Enrollment ID: I20230823002343 |
| Provider Name | Jacintha Nnadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699317321 PECOS PAC ID: 8325493026 Enrollment ID: I20231016002761 |
| Provider Name | Chinwe Anagbogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316718703 PECOS PAC ID: 9830535574 Enrollment ID: I20240315002256 |
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