| Drs Mobile Wound Specialists PLLC | |
|
13509 Lbj Fwy Ste 200 Garland TX 75041-4704 | |
| (918) 809-6133 | |
| Not Available |
| Full Name | Drs Mobile Wound Specialists PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 13509 Lbj Fwy Ste 200, Garland, Texas |
| Authorized Official Name and Position | Matthew Allen Lawrence (OWNER) |
| Authorized Official Contact | 9188096133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Mobile Wound Specialists PLLC 13509 Lbj Fwy Ste 200 Garland TX 75041-4704 Ph: (918) 809-6133 | Drs Mobile Wound Specialists PLLC 13509 Lbj Fwy Ste 200 Garland TX 75041-4704 Ph: (918) 809-6133 |
| NPI Number | 1417789272 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Medicare PECOS PAC ID | 7911431564 |
|---|---|
| Medicare Enrollment ID | O20241105003511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417789272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 208D00000X | General Practice | (NU) | Secondary |
| Provider Name | Matthew a Lawrence |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275890212 PECOS PAC ID: 8123340759 Enrollment ID: I20141209001941 |
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