# PRIME WOUND CARE CLINIC LLC

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

## Provider details

- **NPI number:** 1316897416
- **Authorized official:** LITTY VADAKKAN NP (OWNER)
- **Authorized official phone:** (512) 740-8993

## Contact information

- **Practice address:** 1000 GATTIS SCHOOL RD STE 430, ROUND ROCK, TX 78664-2569
- **Practice address phone:** (512) 740-8993
- **Practice address fax:** (833) 974-2451
- **Mailing address:** 1000 GATTIS SCHOOL RD STE 430, ROUND ROCK, TX 78664-2569

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2026
- **Last updated:** 01/29/2026
