Provider Demographics
NPI:1124248141
Name:FAMILY AND WOUND CARE ASSOCIATES PA
Entity type:Organization
Organization Name:FAMILY AND WOUND CARE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:ZAHI
Authorized Official - Last Name:KANAAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-867-7372
Mailing Address - Street 1:5300 KELLER SPRINGS RD APT 1018
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-2724
Mailing Address - Country:US
Mailing Address - Phone:469-867-7372
Mailing Address - Fax:214-660-2585
Practice Address - Street 1:901 N GALLOWAY AVE STE 101
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-7418
Practice Address - Country:US
Practice Address - Phone:214-660-2580
Practice Address - Fax:214-660-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7437207Q00000X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty