Healthcare Provider Details

I. General information

NPI: 1427481811
Provider Name (Legal Business Name): WOUND HEALING SOLUTIONS TEXAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 08/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CLEMENTS BRIDGE RD
BARRINGTON NJ
08007-1814
US

IV. Provider business mailing address

600 CLEMENTS BRIDGE RD
BARRINGTON NJ
08007-1814
US

V. Phone/Fax

Practice location:
  • Phone: 856-547-8000
  • Fax: 856-547-8020
Mailing address:
  • Phone: 856-547-8000
  • Fax: 856-547-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. ZWELITHINI TUNYISWA
Title or Position: DIRECTOR OF MARKETING
Credential:
Phone: 856-547-8000