# NORTH TEXAS MOBILE WOUND CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023815214
- **Authorized official:** DEMATRIA HOLBROOK DNP, APRN, FNP-C (CEO/ FOUNDER)
- **Authorized official phone:** (817) 915-6053

## Contact information

- **Practice address:** 2952 MONTALBO, GRAND PRAIRIE, TX 75054-6506
- **Practice address phone:** (817) 915-6053
- **Mailing address:** 2952 MONTALBO, GRAND PRAIRIE, TX 75054-6506
- **Mailing address phone:** (817) 915-6053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2025
- **Last updated:** 02/26/2025