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Organization
TEXAS ADVANCED WOUND CARE, PLLC
Active
Organization
TEXAS ADVANCED WOUND CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE THI DINH MD (PROPRIETOR)
(214) 729-9912
Entity
Organization
Contact information
Practice address
4001 W 15TH ST, SUITE 100, PLANO, TX 75093-5841
(214) 473-7671
(214) 473-7680
Mailing address
3308 PRESTON RD, SUITE 350, PMB 133, PLANO, TX 75093-7453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M6107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB109820
PTAN
—
Enumeration date
02/19/2010
Last updated
02/05/2014
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