# CR MOBILE WOUND CARE LLC

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

## Provider details

- **NPI number:** 1700628294
- **Authorized official:** ULOMA CHIAKWELU (ADMINISTRATOR)
- **Authorized official phone:** (832) 423-4472

## Contact information

- **Practice address:** 6575 WEST LOOP S STE 500, BELLAIRE, TX 77401-3509
- **Practice address phone:** (713) 487-5233
- **Practice address fax:** (713) 513-5311
- **Mailing address:** 6575 WEST LOOP S STE 500, BELLAIRE, TX 77401-3509
- **Mailing address phone:** (713) 487-5233
- **Mailing address fax:** (713) 513-5311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2024
- **Last updated:** 06/06/2024