RENOVO WOUND AND HYPERBARICS PLLC (NPI# 1629683602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629683602 |
| Entity Type | Organization |
| Organization Name | RENOVO WOUND AND HYPERBARICS PLLC |
| Practice Address |
5668 Edwards Ranch Road Suite 101 Fort Worth TX 76107 |
| Mailing Address |
Po Box 734964 Dallas TX 75373-4964 |
| Practice Telephone | 8177641565 |
| Mailing Telephone | 4054184800 |
| Mailing Fax Number | 4054184820 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | AMANDEEP KAUR (DIRECTOR) |
| Authorized Official Telephone | 8177641565 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5668 EDWARDS RANCH ROAD SUITE 101 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| 1740780956 | Psn Fw Holdco, LLC | Clinic/Center | 975 Haskell Street, Fort Worth, TX 76107 | 2018-02-14 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861694424 | Long Ngoc Hoang | Emergency Medicine | 6006 Camp Bowie Blvd, Fort Worth, TX 76116-5620 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013409 | Mauricio Moreno | Emergency Medicine | 3418 Lovers Ln, Dallas, TX 75225-7630 | 2020-08-10 |
| 1780204818 | Memorial Wound Care and Infusion Center | Emergency Medicine | 439 Mason Park Blvd Ste A, Katy, TX 77450-6242 | 2020-04-18 |
| 1508499757 | Wcs Medical Management LLC | Emergency Medicine | 1700 B Rr 620 South, Austin, TX 78734 | 2020-02-17 |
| 1457914186 | Arlington Wound Care and Hyperbaric Center LLC | Emergency Medicine | 1001 W Arbrook Blvd Ste 161, Arlington, TX 76015-4222 | 2019-04-18 |
| 1659854024 | Meddive LLC | Emergency Medicine | 4351 Booth Calloway Rd Ste 410, North Richland Hills, TX 76180-7381 | 2018-09-12 |
| 1548795008 | Southwest Collaborative Healthcare Solutions Pllc | Emergency Medicine | 3270 Joe Battle Blvd Ste 160, El Paso, TX 79938-2658 | 2017-04-21 |
| 1871047738 | Antoine Clinic | Emergency Medicine | 7337 Mchenry St, Houston, TX 77087-3632 | 2016-08-09 |
| 1063853257 | Mir Ali | Emergency Medicine | 27700 Northwest Fwy Ste 170, Cypress, TX 77433-8105 | 2013-07-16 |
| 1013266287 | Noel E Oliveira Md Pa | Emergency Medicine | 5509 Drs Drive, Edinburg, TX 78539 | 2012-09-04 |
| 1679878268 | Physicians Unity | Emergency Medicine | 5224 75th St Ste D, Lubbock, TX 79424-2525 | 2011-01-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on RENOVO WOUND AND HYPERBARICS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.