# INNOVATIONS WOUND MANAGEMENT, PA

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

## Provider details

- **NPI number:** 1225354475
- **Authorized official:** MS. MOIRA HAYES MHA, RRT, CHT (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (713) 301-5707

## Contact information

- **Practice address:** 1234 WAGNER ST, HOUSTON, TX 77007-3719
- **Practice address phone:** (713) 301-5707
- **Practice address fax:** (713) 295-2863
- **Mailing address:** 1234 WAGNER ST, HOUSTON, TX 77007-3719
- **Mailing address phone:** (713) 301-5707
- **Mailing address fax:** (713) 295-2863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | 601127 | TX | Yes |

## Other

- **Enumeration date:** 04/13/2010
- **Last updated:** 04/13/2010