MEDICARE: WOUNDTEX

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1306230396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUNDTEX

Provider Business Mailing Address
First Line	:	9955 KEMPWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-2668
Country	:	US
Telephone Number	:	713-884-7544
Fax Number	:

Provider Business Practice Location Address
First Line	:	9955 KEMPWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-2668
Country	:	US
Telephone Number	:	713-884-7544
Fax Number	:

Authorized Official
Title or Position	:	CEO/ CO-FOUNDER
Name	:	DOMINIQUE CASS
Credential	:
Telephone Number	:	713-884-7544

Provider Enumeration Date	:	03/27/2015
Last Update Date	:	03/27/2015

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Directions to “WOUNDTEX ” Practice Location

Language	Start Address	Practice Location

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