# PREMIER MOBILE WOUND OF TEXAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Mobile Wound
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366282360
- **Authorized official:** MICHELLE DALTON (CO-OWNER)
- **Authorized official phone:** (817) 368-6584

## Contact information

- **Practice address:** 1452 HUGHES RD STE 200, GRAPEVINE, TX 76051-9221
- **Practice address phone:** (817) 368-6584
- **Mailing address:** 1452 HUGHES RD STE 200, GRAPEVINE, TX 76051-9221

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2024
- **Last updated:** 07/31/2024