Organization
TEXAS ADVANCED WOUND CARE CENTER
Active
Other names
Texas Advanced Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN N GUPTA (OWNER/MANAGER)
(214) 206-6798
Entity
Organization
Contact information
Practice address
1235 LAKE POINTE PKWY STE 103, SUGAR LAND, TX 77478-4077
(214) 206-6798
Mailing address
23751 MOCK WAGON WAY, RICHMOND, TX 77469-3725
(214) 206-6798
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/23/2025
Last updated
04/28/2025
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