Organization
TEXAS ADVANCED WOUND CARE CENTER
Active
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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