| Wound Integrity Louisiana Pmc | |
|
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 | |
| (512) 202-3830 | |
| (512) 354-1106 |
| Full Name | Wound Integrity Louisiana Pmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Han Pham Hulen (OWNER) |
| Authorized Official Contact | 2142741507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Integrity Louisiana Pmc Po Box 3409 Pflugerville TX 78691-3409 Ph: (512) 202-3830 | Wound Integrity Louisiana Pmc 4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 Ph: (512) 202-3830 |
| NPI Number | 1235744566 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235744566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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