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General NPI Number Information
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NPI Number | 1467964767
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Entity Type | Organization
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Legal Business Name | CHRONIC WOUND SOLUTIONS OF TEXAS LLC
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 1603 BABCOCK RD STE 238
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4741
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Country | US
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Telephone | 210-245-6436
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Fax | 210-783-9210
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Provider Business Mailing Address
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Address Line | 1603 BABCOCK RD STE 238
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4741
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Country | US
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Telephone | 210-245-6436
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Fax | 210-783-9210
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE J WILSON
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Credential | DNP
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Telephone | 210-245-6436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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