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Organization
WOUND MANAGEMENT PLLC
Active
Organization
WOUND MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN STACKS MD (OWNER)
(903) 271-4261
Entity
Organization
Contact information
Practice address
115 W LAMBERTH RD STE E, SHERMAN, TX 75092-2657
(877) 258-6331
(718) 362-1651
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1411
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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