| Wound Care At Home Pllc | |
|
855 Davis Blvd Ste 500 Southlake TX 76092-8218 | |
| (818) 429-7860 | |
| Not Available |
| Full Name | Wound Care At Home Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 855 Davis Blvd Ste 500, Southlake, Texas |
| Authorized Official Name and Position | Salim Damji (REGISTERED AGENT/PARTNER) |
| Authorized Official Contact | 8184297860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care At Home Pllc 855 Davis Blvd Ste 500 Southlake TX 76092-8218 Ph: (818) 429-7860 | Wound Care At Home Pllc 855 Davis Blvd Ste 500 Southlake TX 76092-8218 Ph: (818) 429-7860 |
| NPI Number | 1205458908 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205458908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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