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General NPI Number Information
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NPI Number | 1437904554
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Entity Type | Organization
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Legal Business Name | TEXAS MOBILE WOUNDCARE PLLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 12655 N CENTRAL EXPY STE 305
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City | DALLAS
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State | TX
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Zip | 75243-1752
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Country | US
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Telephone | 877-999-6863
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4010 DEPT 30
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City | HOUSTON
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State | TX
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Zip | 77210-4010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | PATRICIA J ALMAND ASHMORE
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Credential |
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Telephone | 972-810-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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