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Organization
WOUND GURU
Active
Organization
WOUND GURU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE NAVARRETE (OWNER)
(409) 382-2713
Entity
Organization
Contact information
Practice address
103 W GIBSON ST STE 100, JASPER, TX 75951-4970
(970) 250-6134
Mailing address
103 W GIBSON ST STE 100, JASPER, TX 75951-4970
(409) 382-2713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156695
STATE PHYSICAL THERAPY LICENSE
TX
Enumeration date
07/22/2022
Last updated
07/22/2022
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