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Organization
PENN PATIENT CARE, LLC
Active
Organization
PENN PATIENT CARE, LLC
Active
Other names
Woundcare Management of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS WAGNER (CEO)
(956) 602-0371
Entity
Organization
Contact information
Practice address
6262 MCPHERSON RD STE 210, LAREDO, TX 78041-6188
(956) 951-2829
(956) 602-0372
Mailing address
6262 MCPHERSON RD STE 210, LAREDO, TX 78041-6188
(956) 951-2829
(956) 602-0372
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
09/04/2025
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