| Huntsville Wound Care Pllc | |
|
100 Medical Center Pkwy Ste 100 Huntsville TX 77340-4959 | |
| (936) 295-1777 | |
| (936) 295-3680 |
| Full Name | Huntsville Wound Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Medical Center Pkwy Ste 100, Huntsville, Texas |
| Authorized Official Name and Position | Lawrence Wells (DOCTOR) |
| Authorized Official Contact | 9369668181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntsville Wound Care Pllc 100 Medical Center Pkwy Ste 100 Huntsville TX 77340-4959 Ph: () - | Huntsville Wound Care Pllc 100 Medical Center Pkwy Ste 100 Huntsville TX 77340-4959 Ph: (936) 295-1777 |
| NPI Number | 1851114136 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 5597291435 |
|---|---|
| Medicare Enrollment ID | O20241216001419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851114136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lawrence H Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497753206 PECOS PAC ID: 7517035173 Enrollment ID: I20100202000611 |
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