Healtech Advanced Wound Care | |
15002 Lakefair Dr Ste 105 Richmond TX 77406-3995 | |
(346) 837-9881 | |
Not Available |
Full Name | Healtech Advanced Wound Care |
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Speciality | General Practice |
Location | 15002 Lakefair Dr Ste 105, Richmond, Texas |
Authorized Official Name and Position | Adebola Adefuye (OWNER) |
Authorized Official Contact | 3468379881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healtech Advanced Wound Care 15002 Lakefair Dr Ste 105 Richmond TX 77406-3995 Ph: (346) 837-9881 | Healtech Advanced Wound Care 15002 Lakefair Dr Ste 105 Richmond TX 77406-3995 Ph: (346) 837-9881 |
NPI Number | 1932915840 |
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Provider Enumeration Date | 12/05/2024 |
Last Update Date | 12/05/2024 |
Medicare PECOS PAC ID | 4587191259 |
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Medicare Enrollment ID | O20241218003803 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932915840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Adebola Adefuye |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073094165 PECOS PAC ID: 8224496997 Enrollment ID: I20230628001351 |
Provider Name | Jeremy Campbell |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649691148 PECOS PAC ID: 2769602895 Enrollment ID: I20250219003974 |
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