# PENN PATIENT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woundcare Management of Texas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689470544
- **Authorized official:** LEWIS WAGNER (CEO)
- **Authorized official phone:** (956) 602-0371

## Contact information

- **Practice address:** 6262 MCPHERSON RD STE 210, LAREDO, TX 78041-6188
- **Practice address phone:** (956) 951-2829
- **Practice address fax:** (956) 602-0372
- **Mailing address:** 6262 MCPHERSON RD STE 210, LAREDO, TX 78041-6188
- **Mailing address phone:** (956) 951-2829
- **Mailing address fax:** (956) 602-0372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 09/04/2025