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General NPI Number Information
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NPI Number | 1528877453
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Entity Type | Organization
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Legal Business Name | SUPERIOR WOUND CARE LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 6026 EBONWOOD DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412
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Country | US
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Telephone | 361-443-5435
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Fax |
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Provider Business Mailing Address
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Address Line | 6026 EBONWOOD DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412
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Country | US
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Telephone | 361-443-5435
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA MCDOWELL
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Credential | PT, DPT
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Telephone | 361-443-5435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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