| Advanced Woundcare Solution LLC | |
|
9219 Rappahanook Ln Rosenberg TX 77469-1784 | |
| (281) 788-3334 | |
| Not Available |
| Full Name | Advanced Woundcare Solution LLC |
|---|---|
| Speciality | General Practice |
| Location | 9219 Rappahanook Ln, Rosenberg, Texas |
| Authorized Official Name and Position | Leo Dela Rosa (PRESIDENT) |
| Authorized Official Contact | 2817883334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Woundcare Solution LLC 228 E Route 59 Ste 307 Nanuet NY 10954-2905 Ph: (877) 258-6331 | Advanced Woundcare Solution LLC 9219 Rappahanook Ln Rosenberg TX 77469-1784 Ph: (281) 788-3334 |
| NPI Number | 1306728605 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 05/26/2026 |
| Certification Date | 05/26/2026 |
| Medicare PECOS PAC ID | 3072018621 |
|---|---|
| Medicare Enrollment ID | O20250924003407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306728605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208D00000X | General Practice | () | Primary |
| Provider Name | Jennifer Mariam Lableu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073910048 PECOS PAC ID: 1658694419 Enrollment ID: I20141231000166 |
| Provider Name | Tuzhen Xu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982420741 PECOS PAC ID: 1951827633 Enrollment ID: I20250424003771 |
| Provider Name | Amanda Jaquay Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407642689 PECOS PAC ID: 8628594231 Enrollment ID: I20250428001276 |
| Provider Name | Kathy Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477344828 PECOS PAC ID: 3870002751 Enrollment ID: I20250602003618 |
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