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Organization
PROVIDENCE WOUND CARE LLC
Active
Organization
PROVIDENCE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL OSITADINMA NWADEYI DRPH, PA-C (CEO)
(214) 315-5255
Entity
Organization
Contact information
Practice address
9100 SOUTHWEST FWY STE 206, HOUSTON, TX 77074-1531
(214) 315-5255
Mailing address
4011 HARWOOD DR, SUGAR LAND, TX 77479-5165
(214) 315-5255
(346) 571-3129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
10/16/2024
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