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Organization
PREMIER MOBILE WOUND OF TEXAS LLC
Active
Organization
PREMIER MOBILE WOUND OF TEXAS LLC
Active
Other names
Premier Mobile Wound
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DALTON (CO-OWNER)
(817) 368-6584
Entity
Organization
Contact information
Practice address
1452 HUGHES RD STE 200, GRAPEVINE, TX 76051-9221
(817) 368-6584
Mailing address
1452 HUGHES RD STE 200, GRAPEVINE, TX 76051-9221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
07/31/2024
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