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General NPI Number Information
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NPI Number | 1740135300
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Entity Type | Organization
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Legal Business Name | TISSUERX WOUND AND OSTOMY CARE MOBILE SERVICES PLLC
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 1904 SUNFLOWER DR
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City | GLENN HEIGHTS
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State | TX
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Zip | 75154-8746
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Country | US
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Telephone | 469-336-0768
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Fax |
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Provider Business Mailing Address
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Address Line | 1904 SUNFLOWER DR
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City | GLENN HEIGHTS
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State | TX
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Zip | 75154-8746
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Country | US
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Telephone | 469-336-0768
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ALEXANDER UGORJI JR.
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Credential | MSN, APRN
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Telephone | 469-336-0768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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