Organization
WOUND100 TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS FISHER MD (CEO)
(918) 417-0878
Entity
Organization
Contact information
Practice address
7700 CODY LN APT 2918, SACHSE, TX 75048-6688
(214) 422-8172
Mailing address
17414 WASHINGTON ST, OMAHA, NE 68135-3202
(402) 651-6040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
08/21/2025
Last updated
09/05/2025
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