# TEXAS WOUND CARE MED LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700643533
- **Authorized official:** JOANNA PENA (DIRECTOR)
- **Authorized official phone:** (512) 994-7700

## Contact information

- **Practice address:** 1387 GEORGE DIETER DR STE D105, EL PASO, TX 79936-7410
- **Practice address phone:** (512) 994-7700
- **Practice address fax:** (915) 218-6518
- **Mailing address:** 6090 SURETY DR STE 420, EL PASO, TX 79905-2057
- **Mailing address phone:** (915) 303-9215
- **Mailing address fax:** (915) 218-6518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2024
- **Last updated:** 04/16/2024