# WOUND CARE INTERVENTIONS

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

## Provider details

- **NPI number:** 1831970557
- **Authorized official:** TRACI PIERSANTI (MANAGING DIRECTOR)
- **Authorized official phone:** (877) 969-6863

## Contact information

- **Practice address:** 777 MAIN ST STE 600, FORT WORTH, TX 76102-5368
- **Practice address phone:** (877) 969-6493
- **Mailing address:** 3617 N BAY BREEZE LN, FORT WORTH, TX 76179-3824
- **Mailing address phone:** (877) 969-6863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/09/2023
- **Last updated:** 05/21/2024