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NPI Code Detail

MEDICARE: COLLEAGUES IN WOUND CARE LLC

MEDICARE: COLLEAGUES IN WOUND CARE 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
1208600000XSurgery PhysicianTX

General Provider Information

NPI Number : 1356731012
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLEAGUES IN WOUND CARE LLC
Provider Business Mailing Address
First Line : PO BOX 392556
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-9556
Country : US
Telephone Number : 713-806-1855
Fax Number : 888-889-2522
Provider Business Practice Location Address
First Line : 4422 RIVERSTONE BLVD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-7150
Country : US
Telephone Number : 713-806-1855
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. NGA PHUONG LE
Credential :
Telephone Number : 713-806-1855
Provider Enumeration Date : 02/02/2015
Last Update Date : 04/01/2025

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Directions to “COLLEAGUES IN WOUND CARE LLC ” Practice Location

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