Healthcare Provider Details

I. General information

NPI: 1548142706
Provider Name (Legal Business Name): PRECISION WOUND MOBILE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9839 HUDSON ST
ROSHARON TX
77583-3625
US

IV. Provider business mailing address

9839 HUDSON ST
ROSHARON TX
77583-3625
US

V. Phone/Fax

Practice location:
  • Phone: 832-498-1460
  • Fax: 832-498-1460
Mailing address:
  • Phone: 832-498-1460
  • Fax: 832-498-1460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILLIP GALLEGOS
Title or Position: CO-OWNER/PHYSICIAN
Credential: MD
Phone: 832-498-1460