# OPTIMUM WOUND CARE LLC

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

## Provider details

- **NPI number:** 1134965718
- **Authorized official:** VINCENT REBUGIO (MANAGER/NURSE PRACTITIONER)
- **Authorized official phone:** (210) 605-3399

## Contact information

- **Practice address:** 3912 N JACKSON RD, PHARR, TX 78577-6043
- **Practice address phone:** (956) 240-4713
- **Mailing address:** 3912 N JACKSON RD, PHARR, TX 78577-6043
- **Mailing address phone:** (956) 240-4713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2024
- **Last updated:** 07/03/2024