Healthcare Provider Details

I. General information

NPI: 1205627130
Provider Name (Legal Business Name): HEALYTICS MOBILE WOUND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8583 WURZBACH ROAD STE 204
SAN ANTONIO TX
78240
US

IV. Provider business mailing address

8583 WURZBACH RD STE 204
SAN ANTONIO TX
78240
US

V. Phone/Fax

Practice location:
  • Phone: 210-606-7377
  • Fax:
Mailing address:
  • Phone: 210-330-6005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMBER N CASAREZ
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 210-606-7377