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General NPI Number Information
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NPI Number | 1629967500
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Entity Type | Organization
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Legal Business Name | MORGAN MOBILE WOUND CARE
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 5507 E EVANS RD STE 104-119
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City | SAN ANTONIO
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State | TX
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Zip | 78261-2023
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Country | US
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Telephone | 210-323-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 5507 E EVANS RD STE 104-119
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City | SAN ANTONIO
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State | TX
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Zip | 78261-2023
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Country | US
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Telephone | 210-323-3712
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISETTIA MORGAN
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Credential | APRN,DNP,FNP-C
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Telephone | 682-352-2984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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