# PRIME ADVANCED WOUND CARE GROUP

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

## Provider details

- **NPI number:** 1114851888
- **Authorized official:** JANELLE KELLEY (MEMBER)
- **Authorized official phone:** (903) 647-7580

## Contact information

- **Practice address:** 4201 INTERWAY PL, ARLINGTON, TX 76018-5668
- **Practice address phone:** (888) 777-9032
- **Mailing address:** 4201 INTERWAY PL, ARLINGTON, TX 76018-5668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/09/2026
- **Last updated:** 08/04/2026