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Organization
BLC WOUND CARE PLLC
Active
Organization
BLC WOUND CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD TAYLOR LANDRUM MD (OWNER)
(817) 793-0513
Entity
Organization
Contact information
Practice address
400 W LYNDON B JOHNSON FWY STE 130, IRVING, TX 75063-3700
(972) 990-5222
(972) 990-3900
Mailing address
9819 EDGECOVE DR, DALLAS, TX 75238-1535
(817) 793-0513
(972) 990-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
09/15/2023
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