Provider Demographics
NPI:1710869862
Name:US WOUND LLC
Entity type:Organization
Organization Name:US WOUND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERSANTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-444-0036
Mailing Address - Street 1:1810 8TH AVE STE A101
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-1352
Mailing Address - Country:US
Mailing Address - Phone:877-969-6863
Mailing Address - Fax:
Practice Address - Street 1:10401 W RENO AVE FL 1
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-7152
Practice Address - Country:US
Practice Address - Phone:877-969-6863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty