# ACCUCARE FAMILY MEDICAL CENTER P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Texas Professional Wound Care Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144262296
- **Authorized official:** MRS. MAXINE A THERIOT MD (PRESIDENT)
- **Authorized official phone:** (972) 816-0459

## Contact information

- **Practice address:** 1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
- **Practice address phone:** (972) 816-0459
- **Mailing address:** 709 WEST RUSK STREET, SUITE B, \#867, ROCKWALL, TX 75087
- **Mailing address phone:** (972) 786-0140
- **Mailing address fax:** (972) 786-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | J9578 | TX | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | J9578 | TX | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 07/13/2023