# WOUND INTEGRITY LOUISIANA PMC

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

## Provider details

- **NPI number:** 1235744566
- **Authorized official:** HAN PHAM HULEN MD (OWNER)
- **Authorized official phone:** (214) 274-1507

## Contact information

- **Practice address:** 4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
- **Practice address phone:** (512) 202-3830
- **Practice address fax:** (512) 354-1106
- **Mailing address:** PO BOX 3409, PFLUGERVILLE, TX 78691-3409
- **Mailing address phone:** (512) 202-3830
- **Mailing address fax:** (512) 354-1106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2020
- **Last updated:** 09/14/2020