| Healtech Advanced Wound Care | |
|
15002 Lakefair Dr Ste 105 Richmond TX 77406-3995 | |
| (346) 837-9881 | |
| Not Available |
| Full Name | Healtech Advanced Wound Care |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/02/2024 |
| Medicare PECOS PAC ID | 4587191259 |
|---|---|
| Medicare Enrollment ID | O20241218003803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932915840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Adebola Adefuye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073094165 PECOS PAC ID: 8224496997 Enrollment ID: I20230628001351 |
| Provider Name | Jeremy Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649691148 PECOS PAC ID: 2769602895 Enrollment ID: I20250219003974 |
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