Organization
PENN PATIENT CARE, LLC
Active
Other names
Woundcare Management of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS WAGNER (CEO)
(956) 602-0371
Entity
Organization
Contact information
Practice address
6262 MCPHERSON RD STE 210, LAREDO, TX 78041-6188
(956) 951-2829
(956) 602-0372
Mailing address
6262 MCPHERSON RD STE 210, LAREDO, TX 78041-6188
(956) 951-2829
(956) 602-0372
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
09/04/2025
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