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Organization
SOUTHWEST CENTRAL WOUND CARE CLINIC PLLC
Active
Organization
SOUTHWEST CENTRAL WOUND CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURTAZA SHAKIR (MEDICAL DIRECTOR)
(630) 538-7009
Entity
Organization
Contact information
Practice address
1910 PACIFIC AVE STE 8045, DALLAS, TX 75201-4523
(469) 574-7757
Mailing address
1910 PACIFIC AVE STE 8045, DALLAS, TX 75201-4523
(469) 574-7757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/22/2025
Last updated
04/27/2026
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