| Texas Wound Docs Management | |
|
2400 Augusta Dr Ste 369 Houston TX 77057-4911 | |
| (323) 545-4007 | |
| Not Available |
| Full Name | Texas Wound Docs Management |
|---|---|
| Speciality | General Practice |
| Location | 2400 Augusta Dr Ste 369, Houston, Texas |
| Authorized Official Name and Position | Christopher Otiko (PRESIDENT) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Wound Docs Management 4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 Ph: (818) 836-2475 | Texas Wound Docs Management 2400 Augusta Dr Ste 369 Houston TX 77057-4911 Ph: (323) 545-4007 |
| NPI Number | 1225776917 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225776917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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