San Antonio Wound Care LLC

NPI #1619502929 in Live Oak, Texas

Provider Information

NPI Number: 1619502929
Entity Type: Organization
Organization Name: San Antonio Wound Care LLC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 6, 2020
Last Updated: Jan 8, 2021

Practice Location

Address: 12501 JUDSON RD STE 102
City: Live Oak
State: Texas
ZIP Code: 78233-4117
Phone: (210) 369-9151

Authorized Official

Name: CLIFFORD CROSSETT
Title: PRESIDENT
Phone: (832) 274-6455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Undersea and Hyperbaric Medicine — Undersea and Hyperbaric Medicine	2083P0011X
Durable Medical Equipment & Medical Supplies	332B00000X
Clinic/Center	261Q00000X	Primary

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