MEDICARE: HEALYTICS MOBILE WOUND CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1205627130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALYTICS MOBILE WOUND CARE

Provider Business Mailing Address
First Line	:	8583 WURZBACH RD
Second Line	:	STE 204
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240
Country	:	US
Telephone Number	:	210-330-6005
Fax Number	:

Provider Business Practice Location Address
First Line	:	8535 WURZBACH RD STE 204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1220
Country	:	US
Telephone Number	:	210-606-7377
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	AMBER N CASAREZ
Credential	:	NP
Telephone Number	:	210-606-7377

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	01/12/2026

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