WOUND TREATMENT CENTERS OF SOUTH TEXAS PA


Address: 414 Navarro St, Suite 502, San Antonio, TX 78205-2516
Phone: 2102231145

WOUND TREATMENT CENTERS OF SOUTH TEXAS PA (NPI# 1902943996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902943996
Entity Type Organization
Organization Name WOUND TREATMENT CENTERS OF SOUTH TEXAS PA
Practice Address 414 Navarro St
Suite 502
San Antonio
TX 78205-2516
Mailing Address 6800 Park Ten Blvd
Suite 266s
San Antonio
TX 78213-4211
Practice Telephone 2102231145
Practice Fax Number 2106157619
Mailing Telephone 2107327030
Mailing Fax Number 2107327575
Enumeration Date 2007-01-31
Last Update Date 2020-08-22
Authorized Official Name DR. DUANE A DIETZ (PRESIDENT AND MEDICAL DIRECTOR)
Authorized Official Telephone 2107327030
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist H9885 TX Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS GROUP IDENTIFIER 0019MW 01

Office Location

Street Address 414 NAVARRO ST
SUITE 502
City SAN ANTONIO
State TX
Zip Code 78205-2516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265435887 Accord Medical Management, Lp General Acute Care Hospital 414 Navarro St, Ste 600, San Antonio, TX 78205-2541 2005-05-27
1336609726 Sonyong A Lee Nurse Practitioner 414 Navarro St, San Antonio, TX 78205-2516 2019-03-21
1366914459 Merna Saleh Pharmacist 414 Navarro St, San Antonio, TX 78205-2516 2018-12-30
1912412594 Prospect Nix Home Health and Hospice, LLC Registered Nurse 414 Navarro St, San Antonio, TX 78205-2516 2017-12-05
1326405424 Emily Sansom Dietitian, Registered 414 Navarro St, Suite 810, San Antonio, TX 78205-2516 2016-01-20
1750753372 Libra Emergency Physicians, Pllc Emergency Medicine 414 Navarro St, San Antonio, TX 78205-2516 2015-10-22
1346639895 Nikhil Dhawan Md Pllc Psychiatry & Neurology 414 Navarro St, Suite 2100, San Antonio, TX 78205-2516 2015-01-21
1558750257 Millie Clements Nutritionist 414 Navarro St, Suite 810, San Antonio, TX 78205-2516 2015-01-19
1003219395 Jawad Z. Shaikh, M.d., P.a. Internal Medicine 414 Navarro St, Suite 1431, San Antonio, TX 78205-2516 2014-10-01
1841604634 Julie Ann Jarzombek Counselor 414 Navarro St, 810, San Antonio, TX 78205-2516 2014-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144862947 Xeras Medical Technologies, Inc. Durable Medical Equipment & Medical Supplies 315 E. Commerce Street Suite 203, San Antonio, TX 78205 2019-10-13
1538631676 Olga Skirda Physician Assistant 610 North Main Avenue, San Antonio, TX 78205 2018-12-31
1508381757 Davis Vision Inc Eyewear Supplier (Equipment, not the service) 175 E Houston, San Antonio, TX 78205 2017-08-09
1841647138 Karen Tanguma Counselor 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 2016-05-17
1346652500 Lone Star Script Care LLC Case Management 310 S. S Mary's St, 1290, San Antonio, TX 78205 2014-05-22
1821227919 Teresa Yanhong Chen Optometrist 175 East Houston St, Visionworks, San Antonio, TX 78205 2009-07-09
1164650735 Mark Joseph Trevino Ophthalmology 414 Navarro St Ste 400, San Antonio, TX 78205 2009-06-23
1386882520 Nicolas A. Melgarejo Internal Medicine 343 W. Houston St., Suite #808, San Antonio, TX 78205 2009-01-26
1518135904 Khan Z Shirani Emergency Medicine 414 Navarro St Ste 500, San Antonio, TX 78205 2008-02-19
1619076700 Candace Lynese Bellamy Family Medicine 221 3rd St. West, San Antonio, TX 78205 2006-09-22
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568904175 Ashlee Anderjeski Specialist 10218 Castello Cyn, San Antonio, TX 78254-4551 2016-11-14
1831641059 Lone Star Cardiovascular Center Pllc Specialist 9130 Wurzbach Rd Ste 104, San Antonio, TX 78240-1070 2016-11-04
1851753396 Coral Ramirez Camacho Specialist 7827 Clos Du Bois, San Antonio, TX 78253-4880 2016-03-23
1174984371 Crossover Health Specialist 3838 Rogers Rd, San Antonio, TX 78251-3662 2016-03-15
1033585948 Job Adventures Specialist 4606 Centerview Ste 200, San Antonio, TX 78228-1205 2015-08-14
1790168417 San Antonio Head & Neck Surgical Associates Specialist 926 Booklyn Ave, San Antonio, TX 78215-1637 2015-06-30
1255738514 Amy Beth Flores Specialist 7134 Washita Way, San Antonio, TX 78256-2339 2014-12-01
1730582263 Womens Center At Westover Hills Specialist 1315 N. Ellison Dr., San Antonio, TX 78251 2014-09-29
1811396799 Intravascular Access Team Specialist 8415 Fredericksburg Rd, Unit 906, San Antonio, TX 78229-3173 2014-08-17
1497164990 Next Generation Orthopedic & Spine Institute, Pllc Specialist 1626 Lockhill Selma Rd, Suite 2, San Antonio, TX 78213-1929 2014-08-08
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Competitor

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City SAN ANTONIO
Zip Code 78205

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Dataset Information

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.

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