| Total Wound Care Of Arkansas,llc | |
|
4250 N Venetian Ln Fayetteville AR 72703-5077 | |
| (405) 246-0811 | |
| (405) 546-5801 |
| Full Name | Total Wound Care Of Arkansas,llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4250 N Venetian Ln, Fayetteville, Arkansas |
| Authorized Official Name and Position | Tad Burgess (CEO/OWNER) |
| Authorized Official Contact | 4056596993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wound Care Of Arkansas,llc 1900 Nw Expressway Ste 800 Oklahoma City OK 73118-1804 Ph: (405) 246-0811 | Total Wound Care Of Arkansas,llc 4250 N Venetian Ln Fayetteville AR 72703-5077 Ph: (405) 246-0811 |
| NPI Number | 1205655008 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205655008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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