First Source Wound Care

NPI #1316705361 in Keller, Texas

Provider Information

NPI Number
1316705361
Entity Type
Organization
Organization Name
First Source Wound Care
Primary Specialty
Home Health
Enumeration Date
Mar 13, 2024
Last Updated
Mar 13, 2024

Practice Location

Address
1540 KELLER PKWY STE 108-168
City
Keller
State
Texas
ZIP Code
76248-3686
Phone
(469) 850-3114

Authorized Official

Name
DR. PETER BROKISH, MD
Title
VICE-PRESIDENT
Phone
(469) 850-3114

Specialties & Taxonomy Codes

Specialty
Home Health

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