# COMMUNITY WOUND RESOURCE, LLC

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

## Provider details

- **NPI number:** 1851924625
- **Authorized official:** LACHELLE GRIFFIN (CHIEF HUMAN RESOURCE OFFICER)
- **Authorized official phone:** (769) 208-4437

## Contact information

- **Practice address:** 515 N 3RD ST, LONGVIEW, TX 75601-6546
- **Practice address phone:** (903) 475-3474
- **Practice address fax:** (903) 942-2930
- **Mailing address:** 515 N 3RD ST, LONGVIEW, TX 75601-6546
- **Mailing address phone:** (903) 475-3474
- **Mailing address fax:** (903) 942-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2020
- **Last updated:** 05/29/2025
