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NPI Code Detail

MEDICARE: WOUND & LIMB PRESERVATION CENTER LA1 LLC

MEDICARE: WOUND & LIMB PRESERVATION CENTER LA1 LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician
2261QM2500XMedical Specialty Clinic/Center
3261QX0100XOccupational Medicine Clinic/Center

General Provider Information

NPI Number : 1184476780
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOUND & LIMB PRESERVATION CENTER LA1 LLC
Provider Business Mailing Address
First Line : 2245 TEXAS DR STE 300
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-1468
Country : US
Telephone Number : 281-229-4331
Fax Number : 832-581-4674
Provider Business Practice Location Address
First Line : 8109 CULLEN BLVD STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77051-2062
Country : US
Telephone Number : 713-333-8004
Fax Number : 832-581-4674
Authorized Official
Title or Position : PRESIDENT
Name : MR. SEAN D NEWTON SR.
Credential : CFO
Telephone Number : 713-331-5651
Provider Enumeration Date : 04/05/2024
Last Update Date : 06/01/2026

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Directions to “WOUND & LIMB PRESERVATION CENTER LA1 LLC ” Practice Location

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